Quiz 8 Context:
A 25-year-old man presents with the complaint of severe chest, shoulder, and back pain. The patient was recently seen by his primary care doctor for myalgias and pharyngitis. At that time, he was treated symptomatically. Over the past 12 hours he reports the developement of chest, shoulder, and back pain. The pain is worse with deep breathing. The patient also complains of fevers and diaphoresis.
The patient's medical history is significant for hidradenitis suppurativa and inguinal hernia.
exam reveals a heart rate of 90 bpm, blood pressure of 144/60
mmHg, respiratory rate of 26/minute. The patient is in obvious
discomfort. The cardiac exam reveals a regular rate and rhythm.
A high pitched rub is audible over the left lower sternal border.
The lungs are clear to auscultation. The remainder of the exam
An EKG is obtained.
The EKG is shown above.
Sorry, that is not the most likely answer. Try Again.
This is most consistent with which of the following?
- Acute Myocardial Infarction
- Pericarditis, Stage 4
- Wolff-Parkinson-White Pattern
- Electrical alternans Myocardial Infarction
- Pericarditis, Stage 1