What we’re trying accomplish here is to differentiate
the pericardium from rest of the heart.
We spend quite a bit of time with endocarditis
specifically in the ram of valvular heart disease.
Will looked at myocarditis. And we started categorizing it
into a restrictive, inter-hypertrophic and dilated.
Remember, dilated cardiomyopathy and
will be quite common in developed countries. If its restrictive
cardiomyopathy quite rare in developed countries.
In developing countries, a little bit more common.
And by that, we mean subcontinent of Asia, Africa.
Pericardium, what is it?
Well, it’s the outer layer and there should be a
little bit of fluid in the pericardial cavity.
And a little bit of fluid within the pericardial
cavity then represents the prevention of friction.
Species of a heart is being incredibly pumped, has to be.
Well, our topic with pericarditis will be one in which
there’s information taking place of the pericardium,
as you would see here.
And what is your next step of management? Oh, it depends.
If you had, let’s say left ventricle rupture and you
suddenly filled up the pericardial sac with fluid,
and if it’s only just a little bit, a what you would
think at the time is being amazedly 200 milliliters.
But if rapidly gets in there, it might them cause
massive restriction, welcome to tamponade.
Or, if there was a leakage of fluid into pericardial cavity,
and it took time, and it got them to maybe even 1200.
Well, if you took time for the fluid to accumulate
in the pericardial cavity, it’s not of acute nature.
And so therefore, you will not call that
cardiac tamponade. The risk of death at that point,
thank goodness is decreased.
So is really at this point for you to walk
through the journey of pericarditis.
And how do you distinguish one from the other?
Acute pericarditis, as the name implies,
its suffix –itis, -itis, -itis.
Inflammation, inflammation, inflammation.
Where am I? The outside aspect of the heart.