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Chest radiography may reveal cardiomegaly, pneumonia, pleural effusion, and/or mediastinal widening. [4] Electrocardiogram (ECG) is a component of the diagnostic work-up which may suggest pericarditis as the underlying cause of symptoms. The ECG findings for purulent pericarditis are similar to those for other etiologies of pericarditis.
The typical signs of post-pericardiotomy syndrome include fever, pleuritis (with possible pleural effusion), pericarditis (with possible pericardial effusion), occasional but rare pulmonary infiltrates, and fatigue. [1] [2] Cough, pleuritic or retrosternal chest pain, joint pain and decreased oxygen saturation can also be seen in some cases. [1]
Dressler syndrome is a secondary form of pericarditis that occurs in the setting of injury to the heart or the pericardium (the outer lining of the heart). It consists of fever, pleuritic pain, pericarditis and/or pericardial effusion.
The defining symptom of pleurisy is a sudden sharp, stabbing, burning or dull pain in the right or left side of the chest during breathing, especially when one inhales and exhales. [9] It feels worse with deep breathing, coughing, sneezing, or laughing. The pain may stay in one place, or it may spread to the shoulder or back. [10]
[1] [2] Pericarditis is an uncommon cause of chest pain. [9] About 3 per 10,000 people are affected per year. [2] Those most commonly affected are males between the ages of 20 and 50. [10] Up to 30% of those affected have more than one episode. [10]
Depending on severity, dosing is between 300 and 800 mg every 6–8 hours for days or weeks as needed. An alternative protocol is aspirin 800 mg every 6–8 hours. [14] Dose tapering of NSAIDs may be needed. In pericarditis following acute myocardial infarction, NSAIDs other than aspirin should be avoided since they can impair scar formation.
Generally, diseases outlined within the ICD-10 codes J90-J94 within Chapter X: Diseases of the respiratory system should be included in this category. Subcategories This category has the following 2 subcategories, out of 2 total.
Other conditions that may produce similar symptoms include angina, pericarditis, pleurisy, and chest trauma. [1] Treatment is usually via reassurance, as the pain generally resolves without any specific treatment. Precordial catch syndrome is relatively common, and children between the ages of 6 and 12 are most commonly affected.