Tuberculous Pericarditis.docx

Tuberculous/Chronic Constrictive pericarditis Rule in -

Important to consider this diagnosis in patient with known tuberculosis, chest pain and weight loss. (Harrison’s p. 1577) Pericardial effusion ( Harrison’s p.1577) Weakness, fatigue, Increased abdominal girth, abdominal discomfort, and edema are common. ( Harrison’s p.1576) Slow progressive dyspnea, fatigue and weakness ( Current medical diagnosis p.424) Peripheral edema ( Current medical diagnosis p. 426) Associated with only mild to moderate pulmonary hypertension ( ATS journals)

Rule out -

Congestive hepatomegaly is pronounced and cause jaundice ( Harrison’s p.1576) No kussmaul sign

Unusual Case Of Chronic Constrictive Pericarditis Complicated By Severe Pulmonary Arterial Hypertension retrieved from http://www.atsjournals.org/doi/pdf/10.1164/ajrccmconference.2010.181.1_MeetingAbstracts.A3409