Pericarditis
Uganda2023

Diagnosis and treatment protocols for Pericarditis in Uganda

Uganda Clinical Guidelines 2023 · all from source →

General Adult

Diagnosis

1.

Clinical Features

Without effusion: retrosternal pain radiating to shoulder, worsens on deep breathing/movement. Pericardial rub is diagnostic. With effusion: muffled heart sounds, cardiomegaly. Tamponade: dyspnoea, rising JVP, tachycardia, pulsus paradoxus, low BP.

2.

Investigations

ECG, chest X-ray, Echo-cardiography.

Treatment

1.

Viral/Idiopathic

Rest. Ibuprofen 600 mg every 8 hours. If fluid, perform tapping.