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Medicine

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Cardiology

Question
2 out of 19
 

Haemorrhagica pericarditis occurs in all of the following conditions except: (AIIMS May 2009)



A Transmural myocardial infarction.

B Dissecting aneurysm of aorta.

C Metastatic disease of pericardium.

D Constrictive pericarditis.

Ans. D

Constrictive pericarditis.

Causes of haemorrhagic pericarditis: Robbins 7th / 601, 602


1. infective endocarditis

2. Tuberculosis

3. Bleeding diathesis

4. Following cardiac surgery

5. Ruptured MI

6. Ruptured aortic dissection

7. Traumatic perforation


Clinical features: Central chest pain worse on inspiration or lying flat, relief by leaning forward.

A pericardial friction Q rub may be heard

Tests:

ECG classically shows concave (saddle-shaped) ST segment elevation Q, but may be normal or non-specific.

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