症例 challenge · Cardiology / Emergency · teaching

Acute Pericarditis — Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

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Case #1Cardiology / Emergency

📋 Case data

Diagnosis & risk stratificationLow-risk (typical, no high-risk)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Diagnosis & risk stratification

Meets diagnostic criteria (≥2 of 4)? Any high-risk features?

💡 Pericardial inflammation (viral/idiopathic most common; tuberculosis is an important cause in some regions; also uremia, malignancy, autoimmune, post-MI). Diagnosis ≥2 of 4: 1) pleuritic chest pain (relieved by leaning forward, worse supine/inspiration, may radiate to trapezius) 2) pericardial friction rub 3) ECG widespread concave ST-elevation + PR depression (reciprocal in aVR) 4) new/worsening pericardial effusion. Add CRP/ESR, troponin (myopericarditis), echo, CXR. Must exclude ACS/dissection/PE.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.