Treatment, what do you wanna do? Underlying cause
if identifiable. If you’re able to identify.
Is that an autoimmune disease? No. Is it a viral?
They should. So on and so forth.
Treatment for the symptom is, well,
anti-inflammatory. Think of NSAIDs.
Now, colchicine could be, could be added
as first line for the regimen.
Okay, and for the most part that you’re looking at.
Well, there’s already a lot of pain taking place.
And lot of that, think about that for second please.
An acute pericarditis, which is an acute.
In which could be an acute top of inflammation. Then, what
kind of cells is responsible for acute inflammation?
And you will correctly told me?
And colchicine, as soon as you colchicine
you thinking gout. Pain where? In the toe.
So what’s the common denominator
between the two conditions?
Pain, pain. Gout, pain, big toe, podagra.
Where? Pain, where?
Here, acute pericarditis. How’s the pain being caused?
The neutrophil coming in releasing cytokines.
Colchicine does what please? Colchicine is gonna commend
their and it will inhibit the mobility of your cilia.
So neutrophils cannot come in. And perhaps, perhaps,
could result in diminishment of some of that pain.
Clear? Interesting concept.
But, you know the scientific profile
colchicine is quite decimal.
Steroids, usually not part of the treatment of acute.
Because it could actually be part of the cause
for potential recurrent pericarditis.
So, you wanna stick more along lines of NSAIDs and also
high dose aspirin? And pericardiectomy for recurrent disease?
Some point you need to go in there and deal with this.