Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions


Answer 3
  1. Echocardiogram. Serositis in SLE can involve the pericardial, pleural, or gastrointestinal serosal surfaces. Pericarditis is the most frequent cardiac manifestation of SLE, and presentation can range from small to large effusions that can increase gradually or rapidly. Although tamponade is rare, it must be considered in any patient who presents with symptoms of cardiac compromise. Generally, the most accessible means of evaluation is echocardiogram. Treatment will include steroids, but in this degree of illness, the preferred dose is 1000 mg methylprednisolone daily for 3 days. Nonsteroidal anti-inflammatory drugs are an adjunctive therapy in serosal inflammation but are not sufficient for primary treatment. Diuresis would be dangerous, as cardiac output is dependent on the right ventricular filling pressure. Pulse oximetry would be sufficient to estimate oxygen saturation; an arterial blood gas is not necessary at this point.

Click here to return to the questions


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj