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Created page with "{{WBRQuestion |QuestionAuthor=Aarti Narayan, Raviteja Reddy Guddeti |ExamType=USMLE Step 2 CK |Prompt=A 75 yr old male presents to the ER with chest pain of 20 minutes duratio..." |
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|ExamType=USMLE Step 2 CK | |ExamType=USMLE Step 2 CK | ||
|Prompt=A 75 yr old male presents to the ER with chest pain of 20 minutes duration. His EKG shows ST-elevation in the anterior precordial leads, and laboaratory studies show an elevation of cardiac enzymes. The patient was found to have 3 vessel disease on coronary angiography. Immediate CABG was done and the patient recovered well post-surgery. He was discharged in in stable condition. The patient presents again to the ER two weeks later, this time complaining of chest pain that is severe and retrosternal which radiates to the back. On further inquiry he mentions that his pain is aggravated by lying down and alleviated by sitting up and leaning forward. What is the most probable diagnosis? | |Prompt=A 75 yr old male presents to the ER with chest pain of 20 minutes duration. His EKG shows ST-elevation in the anterior precordial leads, and laboaratory studies show an elevation of cardiac enzymes. The patient was found to have 3 vessel disease on coronary angiography. Immediate CABG was done and the patient recovered well post-surgery. He was discharged in in stable condition. The patient presents again to the ER two weeks later, this time complaining of chest pain that is severe and retrosternal which radiates to the back. On further inquiry he mentions that his pain is aggravated by lying down and alleviated by sitting up and leaning forward. What is the most probable diagnosis? | ||
|Explanation=The correct answer is post-pericardiotomy syndrome. The post-pericardiotomy syndrome is inflammation of the pericardium (the sac surrounding the heart) that occurs following cardiac surgery. Symptoms can occur from days to weeks after the operation. The syndrome is thought to have an autoimmune basis. | |||
|Approved=No | |Approved=No | ||
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Revision as of 19:45, 12 February 2013
| Author | PageAuthor::Aarti Narayan, Raviteja Reddy Guddeti |
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| Exam Type | ExamType::USMLE Step 2 CK |
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| Sub Category | |
| Prompt | [[Prompt::A 75 yr old male presents to the ER with chest pain of 20 minutes duration. His EKG shows ST-elevation in the anterior precordial leads, and laboaratory studies show an elevation of cardiac enzymes. The patient was found to have 3 vessel disease on coronary angiography. Immediate CABG was done and the patient recovered well post-surgery. He was discharged in in stable condition. The patient presents again to the ER two weeks later, this time complaining of chest pain that is severe and retrosternal which radiates to the back. On further inquiry he mentions that his pain is aggravated by lying down and alleviated by sitting up and leaning forward. What is the most probable diagnosis?]] |
| Answer A | AnswerA:: |
| Answer A Explanation | AnswerAExp:: |
| Answer B | AnswerB:: |
| Answer B Explanation | AnswerBExp:: |
| Answer C | AnswerC:: |
| Answer C Explanation | AnswerCExp:: |
| Answer D | AnswerD:: |
| Answer D Explanation | AnswerDExp:: |
| Answer E | AnswerE:: |
| Answer E Explanation | AnswerEExp:: |
| Right Answer | RightAnswer:: |
| Explanation | [[Explanation::The correct answer is post-pericardiotomy syndrome. The post-pericardiotomy syndrome is inflammation of the pericardium (the sac surrounding the heart) that occurs following cardiac surgery. Symptoms can occur from days to weeks after the operation. The syndrome is thought to have an autoimmune basis. Educational Objective: |
| Approved | Approved::No |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |