Echo showed . . . • Pericardial effusion •Fibrin b strands st a ds in pericardial pe ca d al space What do you want to do?
Idiopathic: DDx: Pericardial Disease -Often presumed to have viral or autoimmune etiology, but no cause found. Cardiac: -Early Early infarction pericarditis -Late postcardiac injury syndrome -Myocarditis -Dissecting Aortic Aneurysm Infections: Heme/Onc: -Radiation -Neoplasms -Metastatic- lung or breast CA, Hodgkins’s, leukemia, melanoma -Primaryy - Rhado, teratoma, fibroma, Lipoma, leiomyoma, angioma -Paraneoplastic Autoimmune: -Rheumatic disease - Lupus, RA, Vasculitis, scleroderma, MCTD -Other - Wegener’s, Wegener s, polyarteritis nodosa, sarcoidosis, IBD, Whipple’s, Giant cell arteritis, Rheumatic Fever -Viral: Coxsackievirus, echovirus, adeno, EBV, CMV, Flu, Varicella, Rubella, HIV, HepB, Mumps, Parvovirus B19 -Bacterial: Staph, Strep, pneumococcus, Haemophilus, Neiserria, Chlamydia, Legionella, TB, Salmonella, Lyme -Mycoplasma -Fungal: Histo Histo, Aspergillosis Aspergillosis, Blasto Blasto, coccidio coccidio, actinomycosis, actinomycosis nocardia, nocardia candida -Parasitic: Echinococcus, amebiasis, toxoplasmosis -Infective Endocarditis w ring abscess Up To Date Trauma: -Blunt -Penetrating -Iatrogenic