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Related Concept Videos

Pericarditis IV: Nursing Management01:25

Pericarditis IV: Nursing Management

Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
Blood Pressure Imbalances and Circulatory Shock01:24

Blood Pressure Imbalances and Circulatory Shock

Disorders affecting blood volume, vascular tone, or vascular function can disrupt vascular homeostasis, including conditions like hypertension, hemorrhage, and shock.
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
Pneumothorax-I01:26

Pneumothorax-I

A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...

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Related Experiment Video

Updated: Jul 16, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

Pericardial tamponade masquerading as septic shock.

Amy B Schuett1, Mary Davis, Tarang Ray

  • 1Department of Medicine, Allegheny General Hospital, Pittsburgh, PA 15212, USA.

Journal of General Internal Medicine
|March 16, 2007
PubMed
Summary

A rare case of Proteus mirabilis septic arthritis led to purulent pericarditis in an immunocompromised patient. Prompt drainage and antibiotics were crucial for recovery, highlighting atypical pathogen spread.

Related Experiment Videos

Last Updated: Jul 16, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

Area of Science:

  • Infectious Diseases
  • Rheumatology
  • Cardiology

Background:

  • Rheumatoid arthritis (RA) patients, especially those on steroids, are immunocompromised.
  • Septic arthritis is a serious joint infection requiring prompt treatment.

Observation:

  • A 53-year-old man with RA presented with fever and joint drainage, progressing to hemodynamic instability.
  • Initial treatment for presumed septic shock was insufficient.
  • Pericardial effusion with tamponade was diagnosed and treated with pericardiocentesis.

Findings:

  • Proteus mirabilis was identified in both the infected joint and pericardial fluid.
  • This represents the first reported case of combined Proteus mirabilis septic arthritis and purulent pericarditis.
  • Atypical transmission of Gram-negative bacteria to the pericardium occurred in a patient with likely pre-existing pericardial disease.

Implications:

  • Immunocompromised patients may not exhibit typical pericarditis symptoms; tamponade can mimic septic shock.
  • Physical examination and diagnostic studies are vital for accurate diagnosis.
  • Appropriate antibiotic selection and definitive treatment of septic arthritis are critical in immunocompromised individuals.