Q:

A 48 year old man has continuous ant chest pain which is worse on inspiration and has temp of 37.5C since 4 weeks after a MI. His ESR=45mm/h. What is the single most likely explanation for the abnormal investigation?

waelhammad
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2022-10-29
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A 48 year old man has continuous ant chest pain which is worse on inspiration and has temp of 37.5C since 4 weeks after a MI. His ESR=45mm/h. What is the single most likely explanation for the abnormal investigation?

  1. Acute pericarditis
  2. Cardiac tamponade
  3. Atrial thrombus
  4. Left ventricular aneurysm
  5. Dressler syndrome
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waelhammad
2022-10-29
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The key is E. Dressler syndrome. [Dressler syndrome usually occurring two to five weeks after the initial event but it can be delayed for as long as three months. It is characterised by pleuritic chest pain, low-grade fever and pericarditis].

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