peri-carditis :
Definition:
Inflammation of the pericardium (the fibrous sac surrounding the heart). It can be acute, subacute, or chronic.
Clinical Features:
-Chest pain: Sharp, pleuritic, and improved by sitting up and leaning forward.
-Pericardial friction rub: A scratchy, high-pitched sound -heard on auscultation.
-Dyspnea (especially when lying flat).
-Fever (if infectious).
Management:
*Rest and avoid strenuous activity.
*NSAIDs (e.g., ibuprofen): First-line treatment.
*Colchicine: Reduces recurrence risk.
*Corticosteroids: For autoimmune or refractory cases.
Prognosis:
Most cases are self-limiting but recurrent episodes (chronic pericarditis) may occur.
