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Running head: DISCUSSION RESPONSE TO ERICA 1
Discussion Response to Erica
Institutional Affiliation:
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DISCUSSION RESPONSE TO ERICA 2
Discussion Response to Erica
Diagnosis
The patient diagnosis will involve asking the patient-specific questions and examining
medical history. The information gathered will help in determining specific physical and medical
tests to undertake. Some of the identifiable signs and symptoms of pericarditis include prolonged
and sharp chest pain and difficulty in breathing. A doctor will have to take a physical
examination and check the heart sound to listen if there is a pericardial rub. The sound is caused
by pericardium walls rubbing against each other. The following medical tests need to be carried
out; Electrocardiogram, chest X-ray, and echocardiogram test. ECG test will help to measure
electrical impulses given by heart. The x-ray test will help the doctor understand the size and
shape of the heart (Geske JB et al. 2017). The image obtained from the x-ray test will show if
there is excess fluid accumulation in the pericardium. Besides, the echocardiogram test will
capture the heart and its structure. It will also obtain the pericardium, and a doctor will analyze
the image in a monitor or through printed paper and results revealed.
Can Pericarditis Affect Cardiac Performance
Cardiac performance will be affected due to cardiac tamponade. The condition occurs
when a large pericardial effusion impairs the cardiac filling, which causes a low cardiac out. It is
possible to affect cardiac performance because the pericardium walls are inflamed, meaning the
heart will not be able to pump blood effectively. Sometimes, it can cause shock and eventually
DISCUSSION RESPONSE TO ERICA 3
lead to death. Also, the patient is at risk of developing other heart conditions such as coronary
disease and congestive heart failure.
The Rationale
Long term chronic pericarditis leads to inflammatory disorder and sometimes block
arteries (Geske JB et al. 2017). The narrowing of the artery causes an insufficient supply of
oxygen, cause shortness of breath and heart attack. The congestive heart failure will occur
because the fluid builds up around the heart wall, causing pumping to be inefficient.
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