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Substernal or left precordial pleuritic chest pain with radiation to the trapezius ridge (the bottom portion of scapula on the back) is the characteristic pain of pericarditis. The pain is usually relieved by sitting up or bending forward, and worsened by lying down (both recumbent and supine positions ) or by inspiration (taking a breath in ...
The pericardial rub is said to be generated from the friction generated by the two inflamed layers of the pericardium; however, even a large pericardial effusion does not necessarily present a rub. The rub is best heard during the maximal movement of the heart within the pericardial sac, namely, during atrial systole , ventricular systole, and ...
Purulent pericarditis refers to localized inflammation in the setting of infection of the pericardial sac surrounding the heart. [1] In contrast to other causes of pericarditis which may have a viral etiology, purulent pericarditis refers specifically to bacterial or fungal infection of the pericardial sac. [2]
Endocarditis is the inflammation of the endocardium; Pancarditis, also called perimyoendocarditis, is the inflammation of the entire heart: the pericardium, the myocardium and the endocardium; Reflux carditis refers to a possible outcome of esophageal reflux [citation needed] (also known as GERD), and involves inflammation of the esophagus ...
The pericardium (pl.: pericardia), also called pericardial sac, is a double-walled sac containing the heart and the roots of the great vessels. [1] It has two layers, an outer layer made of strong inelastic connective tissue ( fibrous pericardium ), and an inner layer made of serous membrane ( serous pericardium ).
The definitive treatment for constrictive pericarditis is pericardial stripping, which is a surgical procedure where the entire pericardium is peeled away from the heart. This procedure has significant risk involved, [ 14 ] with mortality rates of 6% or higher in major referral centers.
Fibrinous pericarditis is an exudative inflammation.The pericardium is infiltrated by the fibrinous exudate. This consists of fibrin strands and leukocytes.Fibrin describes an amorphous, eosinophilic (pink) network.
Pericardial biopsy is another method of obtaining samples, although this method is invasive and is used less frequently. [5] [6] Culturing pericardial fluid is currently the most widely used diagnostic test for tuberculous pericarditis. [3] However, this process is lengthy and may take up to 3 weeks to receive results. [3]
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