20. Differential Diagnosis of Acute Pericarditis often seldom often seldom Often severely Chest pain seldom seldom often often obviously , occur early Pericardial friction rub often seldom High fever seldom Constant fever Fever History of cardiac injury such as operation, myocardial infarction, may often recurrent Frequently caused by metastatic tumour Accompanied with original infection lesion or septemia Accompanied with primary TB History of up respiratory tract infection , acute onset , often recurrent Histrory Postpericardiostomy syndrome Maligancy Purulent pericarditis Tuberculous pericarditis Acute idiopathic pericarditis
21. Differential Diagnosis of Acute Pericarditis Often serosity Often hematic Purulent Often hematic Grass yellow or hematic Characteristic Medium Large Large Large Little Volume of pericardial effusion — — + — — Blood culture Normal or slightly increase Normal or slightly increase Significantly increase Normal or slightly increase Normal or increase Leukocyte count Postpericardiostomy syndrome Maligancy Purulent pericarditis Tuberculous pericarditis Acute idiopathic pericarditis
22. Differential Diagnosis of Acute Pericarditis Steroid Treat original diseases, Perecardiocentesis Antibiotic or pericardiotomy Anti-tubercle bacillus NSAIDs Treatment None None Purulent bacteria Tubercle bacillus may be found None Bacteria More lymphocyte More lymphocyte More neutrophil More lymphocyte More lymphocyte Classification of leukocyte Postpericardiostomy syndrome Maligancy Purulent pericarditis Tuberculous pericarditis Acute idiopathic pericarditis
Avoid too much or too less blood inflow into the heart, modulate the pressure of the ventricle
Any treatable underlying cause should be saught and treated, however, most causes of pericarditis are viral and idiopathic. The main aims of management are therefore relief of chest pain and bed rest.