Podcast 875: A Pediatric Case of Myopericarditis

Podcast 875: A Pediatric Case of Myopericarditis

Contributor: Meghan Hurley MD

Educational Pearls:

  • Pericarditis is inflammation of the pericardial sac, which can arise from infectious or non-infectious etiologies

  • Myocarditis is inflammation of the myocardium, which may accompany pericarditis

  • Pericarditis clinical findings include:

    • Diffuse concave ST elevation, classic for acute pericarditis with myocardial involvement. More common in younger male patients

    • Elevated high-sensitivity troponin - higher levels may occur in young healthy patients

    • Ultrasound may show pericardial effusions

  • POCUS may be helpful in assessing left ventricular ejection fraction (LVEF) via E-point septal separation (EPSS)

    • Elevation in EPSS correlates with decreased LVEF

  • Treatments:

    • Anti-inflammatories including NSAIDs and colchicine

    • Monitor inflammation

    • Repeat ultrasounds

  • Risk factors in this patient's case:

    • mRNA COVID vaccine - the risk of myocarditis from vaccination is significantly lower than that from COVID-19 infection

    • Preceding infection

References

1. Gao J, Feng L, Li Y, et al. A Systematic Review and Meta-analysis of the Association Between SARS-CoV-2 Vaccination and Myocarditis or Pericarditis. Am J Prev Med. 2023;64(2):275-284.

2. Imazio M, Gaita F, LeWinter M. Evaluation and treatment of pericarditis: A systematic review. JAMA - J Am Med Assoc. 2015;314(14):1498-1506. doi:10.1001/jama.2015.12763

3. Mckaigney CJ, Krantz MJ, La Rocque CL, Hurst ND, Buchanan MS, Kendall JL. E-point septal separation: A bedside tool for emergency physician assessment of left ventricular ejection fraction. Am J Emerg Med. 2014;32(6):493-497. doi:10.1016/j.ajem.2014.01.045

Summarized by Jorge Chalit, OMSII | Edited by Meg Joyce & Jorge Chalit, OMSII

Avsnitt(1145)

Podcast 615: Pediatric DKA

Podcast 615: Pediatric DKA

Contributor: Ryan Circh, MD Educational Pearls: Diabetic ketoacidosis (DKA) can be the initial presenting condition of undiagnosed diabetes type I in pediatric patients Unlike adults, children typica...

23 Nov 20205min

Podcast 614: Perichondritis

Podcast 614: Perichondritis

Contributor: Nick Tsipis, MD Educational Pearls: Perichondritis involves infection of not only the connective tissue of the ear but typically the cartilage as well Symptoms include erythema, ear pain...

17 Nov 20204min

Podcast 613: Spontaneous Bacterial Peritonitis

Podcast 613: Spontaneous Bacterial Peritonitis

Contributor: Sam Killian, MD Educational Pearls: Spontaneous bacterial peritonitis (SBP) is an infection of peritoneal fluid that typically occurs in cirrhotic patients Symptoms may include abdominal...

16 Nov 20204min

Pharmacy Phriday #3: Drug Shortages in COVID

Pharmacy Phriday #3: Drug Shortages in COVID

Contributor: Rachael Waterson, PharmD Educational Pearls: Drug shortages have been an ongoing issue since the 2000's. Improvement was being made; however, several factors have exacerbated the drug s...

13 Nov 202016min

UnfilterED #11: Dr. Ricky Dhaliwal

UnfilterED #11: Dr. Ricky Dhaliwal

Dr. Tsipis sits down with colleague Dr. Ricky Dhaliwal for some insightful conversation regarding the differences between academic and community settings as well as the various roles of advocacy in me...

11 Nov 202040min

Podcast 612: Origin of Vaccines

Podcast 612: Origin of Vaccines

Contributor: Dave Rosenberg, MD Educational Pearls: The potential of vaccinations was first observed in the late 1600s when Jenner observed people who had cowpox never contracted smallpox, so he inoc...

10 Nov 20204min

Podcast 611: Flu Season in the time of COVID

Podcast 611: Flu Season in the time of COVID

Contributor: Chris Holmes, MD Educational Pearls: During a typical flu season positive rates of flu tests run around ~20% Surveillance data from Australia, South Africa, and Chile showed remarkably l...

9 Nov 20203min

Podcast 610: Swimmers Itch

Podcast 610: Swimmers Itch

Contributor: John Winkler, MD Educational Pearls: Swimmers itch is due to a flatworm parasitic infection that causes an itchy rash after the worm burrows into the skin The flatworm is passed between ...

3 Nov 20203min

Populärt inom Vetenskap

p3-dystopia
dumma-manniskor
svd-nyhetsartiklar
allt-du-velat-veta
kapitalet-en-podd-om-ekonomi
det-morka-psyket
dumforklarat
pojkmottagningen
rss-vetenskapsradion-2
rss-vetenskapsradion
rss-ufo-bortom-rimligt-tvivel
sexet
halsorevolutionen
rss-spraket
medicinvetarna
rss-experimentet
vetenskapsradion
paranormalt-med-caroline-giertz
4health-med-anna-sparre
rss-tidslinjen-podcast