MOFFITT CARDIOLOGY REPORT PEARLS 1/17/17: SLE and Pericardial Effusions!

 

Thanks to Nancy and Megan for presenting the case of a young woman with lupus who had a large pericardial effusion and knee effusion!

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Top Pearls:

  1. Pericardial fluid analysis is low yield for new pericardial effusions; pericardial tissue is more helpful.
  2. Common causes of pericardial effusion include TB, post-MI, malignancy, and autoimmune (RA and SLE).
  3. 50% of lupus patients will have a cardiac manifestation at some point in their life!

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For those who want more info:

See these prior Moffitt pearls about cardiac manifestations of lupus:

https://ucsfmed.wordpress.com/2016/07/05/moffitt-am-report-pearls-7516-cardiac-manitestations-of-sle-and-amyloid/

And a couple prior Moffitt pearls on pericardial effusions!

https://ucsfmed.wordpress.com/2016/01/28/intern-report-pearls-128-pericardial-effusions/

https://ucsfmed.wordpress.com/2016/01/19/am-cardiology-report-pearls-119-ddx-for-new-pericardial-effusions/

 

Evernote: https://www.evernote.com/shard/s272/sh/f15a9047-e420-4dd1-b32f-205d36a0314b/8897b658d05aa78734d9ed40d14b0de0

Have a great day everyone!

Sammy

 

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