neoplastic pericarditis

出典: meddic

  • 腫瘍性心膜炎?

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英文文献

  • 2015 update on the diagnosis and management of neoplastic pericardial disease.
  • Lestuzzi C1, Berretta M, Tomkowski W.
  • Expert review of cardiovascular therapy.Expert Rev Cardiovasc Ther.2015 Apr;13(4):377-89. doi: 10.1586/14779072.2015.1025754.
  • The best approach in diagnosis and treatment of neoplastic pericardial disease has not been defined yet. The authors report the most recent literature about the new diagnostic techniques that are useful to improve the diagnosis. The literature about the therapeutic options is critically reviewed, in
  • PMID 25797903
  • Effusive-constrictive pericarditis as the manifestation of an unexpected diagnosis.
  • Marta L1, Alves M2, Peres M2, Ferreira R3, Ferreira H3, Leal M2, Nobre Â3.
  • Revista portuguesa de cardiologia : orgão oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology.Rev Port Cardiol.2015 Jan;34(1):69.e1-6. doi: 10.1016/j.repc.2014.08.013. Epub 2014 Dec 17.
  • Constrictive pericarditis is a clinical condition characterized by the appearance of signs and symptoms of right heart failure due to loss of pericardial compliance. Cardiac surgery is now one of the most frequent causes in developed countries, while tuberculosis remains the most prevalent cause in
  • PMID 25528974
  • [Myopericarditis as the presenting manifestation of adult Still's disease].
  • Oehler E1, Valour F2, Hachulla E3, Ghawche F4.
  • La Revue de médecine interne / fondée ... par la Société nationale francaise de médecine interne.Rev Med Interne.2014 Dec;35(12):827-30. doi: 10.1016/j.revmed.2013.06.014. Epub 2013 Dec 2.
  • INTRODUCTION: Adult Still's disease may present with multiple non-specific clinical manifestations leading to diagnostic difficulties. Presentation as initial myopericarditis is rare but must be known.CASE REPORT: We report a 49-year-old man who presented with the sudden onset of a high fever, arthr
  • PMID 24309545

和文文献

  • 臨床的に創傷性心膜炎が疑われた心膜中皮腫と地方病性牛白血病を併発した1症例
  • Chylous Ascites and Pleural Effusion Secondary to Constrictive Pericarditis Presenting With Signs of Lymphatic Obstruction
  • 牛の腫瘍性および炎症性疾患における血清α<SUB>1</SUB>酸性糖蛋白

関連リンク

neoplastic pericarditis Etymology: Gk, neos, new, plasma, formation, peri, around, kardia, heart, itis, inflammation inflammation of the pericardium, usually secondary to a malignant tumor within the area. Also called carcinomatous ...
1. Cardiol Clin. 1990 Nov;8(4):673-82. Neoplastic pericardial disease. Hancock EW(1). Author information: (1)Cardiology Division, Stanford University School of Medicine, California. The spread of metastatic ...

関連画像

 heart diseases (myocarditis, pericarditis –Constrictive Pericarditis — NEJMSpecific etiology Tuberculous pericarditis  Neoplastic pericarditis PericarditisNeoplastic pericarditis: Gross, natural How is Acute Pericarditis Diagnosed and


★リンクテーブル★
リンク元胸痛
関連記事neoplastic」「pericarditis

胸痛」

  [★]

chest pain, thoracodynia, pectoralgia
胸部痛
胸壁痛胸部圧迫感


鑑別疾患

診断エッセンシャルズ新訂版

救急疾患

その他

鑑別診断

DIF.84

胸痛の質

  • 圧迫されるような痛み:狭心症、心筋梗塞
  • 刺すような痛み:心膜炎、胸膜炎、肋間神経痛


胸痛と呼吸困難

参考1
  • 気胸、肺炎、胸膜炎、慢性閉塞性肺疾患、慢性閉塞性肺疾患の悪化、肺癌などの肺疾患、心不全

診察

【現病歴】
 誘因、発生様式(突発、緩徐)、経時的変化(一定、動揺、増悪/寛解傾向)、部位(一番痛い部位、放散する部位)、軽快因子、増悪因子、(反復するエピソードあれば)前回との比較、随伴症状

【既往歴】基礎疾患(DM, HT, DL)
【嗜好】smoking, alcohl
【服用薬】
【職業】

【身体所見】
Appearance: Face anguish, Diaphoresis, Cyanosis
Vital:
 Consciousness: 
 BT , BP / , HR  (L Arm/R Arm, Lower Extrimity), RR , SpO2
Lymphnode: swollen/no swollen, breath sound →/↑/↓
Chest
 Heart:Is →/↑/↓, IIs →/↑/↓, IIIs(±)/IVs(±), murmur, friction rub ±
 Lung: crackle/rale
Abdomen: soft/hard, tenderness
Extremity: cold/pulse/edema
Skin: dry/wet/hot/cold

【検査】
ECG: ST segment change
Blood test:
 biochemistry: CK-MB, Troponine T, AST, LDH, H-FABP
 Blood count: WBC
 Arterial blood gas: PaO2 torr
  A-aDO2 = 150 - PaCO2/ 0.8 (torr) - PaO2 (normal below 20 Torr)
Chest XP:
Heart echography:

参考

  • 1. 肺血栓塞栓症および深部静脈血栓症の診断、治療、予防に関するガイドライン(2009年改訂版)
http://www.j-circ.or.jp/guideline/pdf/JCS2009_andoh_h.pdf



neoplastic」

  [★]

  • adj.
  • 新生物の/新生物形成の

WordNet   license wordnet

「of or related to or having the properties of a neoplasm; "neoplastic cells"」


pericarditis」

  [★] 心膜炎

WordNet   license wordnet

「inflammation of the pericardium」




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