A 45yo man who is diabetic and HTN but poorly compliant has chronic SOB, develops severe
SOB and chest pain. Pain is sharp, increased by breathing and relieved by sitting forward. What
is the single most appropriate dx?
a. MI
b. Pericarditis
c. Lung cancer
d. Good pastures syndrome
e. Progressive massive fibrosis
answer: B
Acute Pericarditis
• diagnostic triad: chest pain, friction rub, and ECG changes
• pleuritic chest pain: alleviated by sitting up and leaning forward
• pericardial friction rub: may be uni-, bi-, or triphasic
• ± fever, malaise
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