[Verse 1] Thirty milligrams per kilo, methylpred at the clamp, STRESS trial dropped in twenty-two, Hill held the lamp— JAMA paper, neonates wired to the pump, Promised less swelling, delivered just a bump. Composite outcome stayed flat, didn't budge the needle, But insulin climbed, glucose turned lethal, So the verdict's in — no blanket steroid rain, Routine dosing's shelved, precision is the aim. [Chorus] Das Herz, der Beutel, entzündet nach der Schnitt, Серце — запалення, тиждень за тижнем ще сидить, One week, six weeks, the friction rub will sing, Ibuprofen, colchicine — that's the healing ring. [Verse 2] Post-pericardiotomy, the autoimmune replay, Your own patched pericard, the body says "no way," Fever climbs at midnight, pleuritic stab of pain, Lean forward, listen close — a leathery rub, a strain, Effusion pools and whispers on the echo screen, One to six weeks out, the classic in-between, It's not infection, it's the immune system's riot, Turning on the tissue it once called quiet. [Verse 3] Kids get ibuprofen, ten per kilo, six to eight the span, Adults take six hundred milligrams, eight hours the plan, Or swing for high-dose aspirin if that's the chosen road, But guard the gut that's carrying the load — PPI riding shotgun, omeprazole on deck, Stomach lining's armored, dodge the ulcer wreck, First-line fighters, NSAIDs clear the haze, Cooling fever, shrinking fluid, counting days. [Verse 4] Colchicine enters — point five milligram, the COPPS way, Once daily under seventy kilos, twice if you outweigh, Adult trials proved it cuts the comeback rate, Pediatric data's thin, so we extrapolate, Watch the belly, watch for cramping, counsel every dose, Recurrence drops when colchicine's the overlapping gloss. [Bridge] Якщо рідина тисне — tamponade's the call, Der Druck wird kritisch — drainage, hear it stall, Pigtail or the window, Part Seven holds the key, Chylothorax cousins swim in that same sea. [Verse 5] When NSAIDs and colchicine still can't break the fever's hold, Low-dose steroids enter, third-line, the story told, Taper slow, weeks not days, rebound waits to strike, Combine with colchicine cover, give the taper bite, Refractory cases need rheum and cardio allied, Biologics on the horizon when the standard path's denied, But first-line stays the mantra, steroids held in reserve, Precision medicine's promise — treat the trial, not the nerve. [Chorus] Das Herz, der Beutel, entzündet nach der Schnitt, Серце — запалення, тиждень за тижнем ще сидить, One week, six weeks, the friction rub will sing, Ibuprofen, colchicine — that's the healing ring. [Outro] No steroids blanket the bypass anymore, NSAID first, colchicine for the encore, Drain what tampons, guard the gut, track the days — Pericard settles, quiet in its case.
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