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Related Concept Videos

Pericarditis I: Introduction01:22

Pericarditis I: Introduction

422
Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
422
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

367
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...
367
Pericarditis IV: Nursing Management01:25

Pericarditis IV: Nursing Management

381
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.
381
Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

341
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...
341
Resistivity01:22

Resistivity

4.6K
When a voltage is applied to a conductor, an electrical field is generated, and charges in the conductor feel the force due to the electrical field. The current density that results depends on the electrical field and the properties of the material. In some materials, including metals at a given temperature, the current density is approximately proportional to the electrical field. In these cases, the current density can be modeled as:
4.6K
Resistance01:19

Resistance

6.0K
When a current moves through any conductor, the conductor causes some level of difficulty for the current to flow. The measure of that difficulty is known as the resistance of the material and is represented by R. Every material has its own resistance. In the case of conductors, heat is emitted whenever a current passes through them. Resistance depends on the resistivity of the material. Resistivity is a characteristic of the material used to fabricate electrical components, whereas the...
6.0K

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Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus MRSA
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Pericardial Window for Methicillin-Resistant Staphylococcus aureus Pericarditis.

Hiroaki Oizumi1, Hideomi Ichinokawa1, Hironobu Hoshino1

  • 1Department of General Thoracic Surgery, Juntendo University Shizuoka Hospital, Shizuoka, Japan.

The Annals of Thoracic Surgery
|June 23, 2018
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Summary

Methicillin-resistant Staphylococcus aureus pericarditis is rare and life-threatening. Thoracotomy-created pericardial windows offer effective treatment, particularly for patients with adhesions.

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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Thoracic Surgery

Background:

  • Pericarditis, particularly methicillin-resistant Staphylococcus aureus (MRSA) pericarditis, presents a rare but severe clinical challenge.
  • Standard treatment involves pericardiocentesis, pericardial drainage, and antibiotics, but recurrence can occur.

Observation:

  • A 58-year-old male patient presented with cardiac tamponade due to MRSA pericarditis.
  • Initial treatment with pericardiocentesis and antibiotics provided temporary relief, but the pericardial effusion reaccumulated.

Findings:

  • A pericardial window was successfully created via thoracotomy as a definitive surgical intervention.
  • The patient experienced an uneventful postoperative recovery following the pericardial window procedure.

Implications:

  • Thoracotomy-facilitated pericardial window creation is a viable and effective definitive treatment for MRSA pericarditis.
  • This surgical approach may be particularly beneficial for patients with complex cases, including significant pericardial adhesions.