uremic pericarditis

Clinical manifestations: 1) hemorrhagic pericarditis 2) often occurs predialysis 3) hemodialysis is helpful Differential diagnosis: - uremic exacerbation of viral pericarditis 1) may be hemorrhagic 2) tamponade may occur 3) can occur in well-dialyzed patients 4) intrapericardial steroids often necessary Management: - hemodialysis for uremic pericarditis including stage G5 chronic kidney disease

References

Mayo Internal Medicine Board Review, 1998-99, Prakash UBS (ed) Lippincott-Raven, Philadelphia, 1998, pg 617