Cardiology is too Interesting to be Bored Review 3/31/15

A 33 year old man presents with chest pain and mild shortness of breath, progressively worsening over the last two days – sharp, sternal, worse on inspiration/lying flat, no radiation, better with sitting up. ROS + for URI 8 days ago.

CXR: unremarkable

ECG: T wave flattening and T wave inversions throughout….or scattered ST elevations without…or PR depressions…. or totally normal.

 

Diagnosis?
Pericarditis…seriously, could this BE any easier.

 

Treatment?
NSAIDS! Colchicine? Check this out. And early follow-up

 

By Dr. Andrew Grock and Dr. Sally Bogoch

 

References

Rivers

uptodate.com

 

 

The views expressed on this blog are the author's own and do not reflect the views of their employer. Please read our full disclaimer here. Any references to clinical cases refer to patients treated at a virtual hospital, Janus General Hospital.
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andygrock

  • Resident Editor In Chief of blog.clinicalmonster.com.
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  • Resident at Kings County Hospital