CRACKCast E082 - Pericardial & Myocardial Disease

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This episode covers chapter 82 of Rosen's Emergency Medicine. Take a listen for all those juicy pericardial-pump-pearls!

  1. List eight causes of pericarditis.
  2. Describe typical pain of pericarditis, expected lab work abnormalities,
  3. What is the typical sequence of ECG changes in pts with pericarditis? (the stages)
  4. Describe the treatment of pericarditis associated with: Uremia, Neoplasm, and SLE
  5. Outline the management of Dressler's syndrome.
  6. What is the pathophysiology of cardiac tamponade? Describe the mechanism of hypotension in pericardial tamponade and list 4 expected findings on physical examination.
  7. Describe the procedural steps in pericardiocentesis
  8. List 4 causes of pneumopericardium and one specific PEX finding
  9. List five causes of constrictive pericarditis.
  10. What is the pathophysiology of purulent pericarditis? List 5 organisms responsible for infectious pericarditis? How is it managed?
  11. Describe the pathophysiology of hypertrophic cardiomyopathy
  12. Describe the clinical exam and ECG findings associated with HCM
  13. List 5 RFs for sudden death in HCM
  14. A pt with known hypertrophic cardiomyopathy presents to the ED with acute cardiogenic pulmonary edema causing mild hypoxia. What is the general approach to management in the ED? Explain your choices.
  15. List four causes of dilated cardiomyopathy.
  16. Describe ECG findings of dilated cardiomyopathy
  17. List 5 RFs for developing a dilated cardiomyopathy
  18. In what time frame would one expect peripartum DCM?
  19. List 5 causes of restrictive cardiomyopathy
  20. List 8 common pathogens responsible for myocarditis, and 3 non-infectious causes of myocarditis
  21. Describe the stages of viral myocarditis and the management at each stage

Wisecracks:

  1. What are some functions of the pericardium?
  2. What are Chagas Disease and Trichinosis, list bizz-buzz features for each?
  3. What are the expected cardiac findings in Lyme disease and how is it treated?
  4. How does sarcoid affect the heart?
  5. Amyloidosis?

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