acute

Acute pericarditis

Overview Pericarditis refers to inflammation of the lining of the heart known as the pericardium. Inflammation of the pericardium can be acute or chronic: Acute pericarditis: acute-onset chest pain and characteristic ECG features (e.g. saddle ST elevation). Multiple aetiologies. Self-limiting without significant complications in 70-90% of cases. Chronic pericarditis: long-standing inflammation (> 3 months), usually follows acute episode. Complications include chronic pericardial effusion and constrictive pericarditis due to scarring. Acute pericarditis is the most common pericardial disease. Although true incidence is difficult to quantify, acute pericarditis is estimated to be present in 1% of adults who present with ST elevation changes on

Acute epiglottitis

Overview Acute epiglottitis refers to inflammation of the epiglottis and surrounding supraglottic mucosa. It can be a life-threatening condition due to airway obstruction. Thankfully, acute epiglottitis is now rare in children due to the introduction of the Haemophilus influenzae type B (Hib) vaccination as part of the routine immunisation programme. In adults, the incidence is estimated at 1-4 per 100,000 people. In children, the median age at presentation has increased to 6-12 years (traditionally affected children 2-5 years old). Children who have not been vaccinated are at particular risk.     Basic anatomy The epiglottis is a thin layer of