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The diagnosis of purulent pericarditis requires a combination of clinical assessment, laboratory tests, and imaging studies. Pericardiocentesis with evaluation of pericardial fluid by culture and microscopy is necessary to make the diagnosis, however several other findings may increase the likelihood of purulent pericarditis.
For acute pericarditis to formally be diagnosed, two or more of the following criteria must be present: chest pain consistent with a diagnosis of acute pericarditis (sharp chest pain worsened by breathing in or a cough), a pericardial friction rub, a pericardial effusion, and changes on electrocardiogram (ECG) consistent with acute pericarditis ...
Symptoms include liver and kidney failure and vasculitis. [10] Lyme disease* is a disease caused by Borrelia burgdorferi, a spirochaete, and spread by ticks of the genus Ixodes. Symptoms in dogs include acute arthritis, anorexia and lethargy. There is no rash as is typically seen in humans. [11]
Typically it begins at rest and other symptoms are absent. Concerns about the condition may result in anxiety. [1] The underlying cause is unclear. Some believe the pain may be from the chest wall or irritation of an intercostal nerve. [1] [2] Risk factors include psychological stress. [2] The pain is not due to the heart. Diagnosis is based on ...
Symptoms typically include sudden onset of sharp chest pain, which may also be felt in the shoulders, neck, or back. [1] The pain is typically less severe when sitting up and more severe when lying down or breathing deeply. [1] Other symptoms of pericarditis can include fever, weakness, palpitations, and shortness of breath. [1]
A pericardial friction rub, also pericardial rub, is an audible medical sign used in the diagnosis of pericarditis.Upon auscultation, this sign is an extra heart sound of to-and-fro character, typically with three components, two systolic and one diastolic. [1]
Uremic pericarditis is associated with azotemia, and occurs in about 6-10% of kidney failure patients. BUN is normally >60 mg/dL (normal is 7–20 mg/dL). However, the degree of pericarditis does not correlate with the degree of serum BUN or creatinine elevation. The pathogenesis is poorly understood. [2]
Constrictive pericarditis is a condition characterized by a thickened, fibrotic pericardium, limiting the heart's ability to function normally. [1] In many cases, the condition continues to be difficult to diagnose and therefore benefits from a good understanding of the underlying cause.
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