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|QuestionAuthor=Raviteja Reddy Guddeti MBBS, Aarti Narayan MBBS | |QuestionAuthor=Raviteja Reddy Guddeti MBBS, Aarti Narayan MBBS | ||
|Prompt=A 65 year old male presents with fever, weakness, and chest pain that is pleuritic in nature. The pain is relieved by sitting up and leaning forward. The patient describes the pain as sharp and brief. Auscultation reveals friction rub. What is the pathognomonic EKG finding in this patient? | |Prompt=A 65 year old male presents with fever, weakness, and chest pain that is pleuritic in nature. The pain is relieved by sitting up and leaning forward. The patient describes the pain as sharp and brief. Auscultation reveals friction rub. What is the pathognomonic EKG finding in this patient? | ||
|Explanation=The correct answer is PR depression, as the patient has acute pericarditis. PR depression is | |Explanation=The correct answer is PR depression, as the patient has acute pericarditis. PR depression is an EKG finding which is pathognomonic in acute pericarditis, even though ST elevation is often seen in all leads universally. ST segment elevation is seen in other cardiac conditions such as STEMI, pulmonary embolism, therefore this finding is not pathognomonic. | ||
| | |AnswerB=T wave inversion and poor R wave progression. | ||
| | |AnswerBExp=T wave inversion and poor R wave progression suggests ischemia, and is not pathognomonic for acute pericarditis. | ||
|AnswerC=PR depression | |||
|AnswerCExp=PR depression is | |||
|AnswerD=Presence of a Q wave | |||
|AnswerDExp=Presence of a Q wave suggests an old infarct, and is not pathognomonic for acute pericarditis. | |||
|AnswerE=Poor R-wave progression | |||
|AnswerEExp=Poor R-wave progression can imply an old anterior MI, and is not pathognomonic for acute pericarditis. | |||
|Approved=No | |Approved=No | ||
}} | }} | ||
Revision as of 14:36, 13 February 2013
| Author | PageAuthor::Raviteja Reddy Guddeti MBBS, Aarti Narayan MBBS |
|---|---|
| Exam Type | ExamType:: |
| Main Category | |
| Sub Category | |
| Prompt | [[Prompt::A 65 year old male presents with fever, weakness, and chest pain that is pleuritic in nature. The pain is relieved by sitting up and leaning forward. The patient describes the pain as sharp and brief. Auscultation reveals friction rub. What is the pathognomonic EKG finding in this patient?]] |
| Answer A | AnswerA:: |
| Answer A Explanation | AnswerAExp:: |
| Answer B | AnswerB::T wave inversion and poor R wave progression. |
| Answer B Explanation | AnswerBExp::T wave inversion and poor R wave progression suggests ischemia, and is not pathognomonic for acute pericarditis. |
| Answer C | AnswerC::PR depression |
| Answer C Explanation | AnswerCExp::PR depression is |
| Answer D | AnswerD::Presence of a Q wave |
| Answer D Explanation | AnswerDExp::Presence of a Q wave suggests an old infarct, and is not pathognomonic for acute pericarditis. |
| Answer E | AnswerE::Poor R-wave progression |
| Answer E Explanation | AnswerEExp::Poor R-wave progression can imply an old anterior MI, and is not pathognomonic for acute pericarditis. |
| Right Answer | RightAnswer:: |
| Explanation | [[Explanation::The correct answer is PR depression, as the patient has acute pericarditis. PR depression is an EKG finding which is pathognomonic in acute pericarditis, even though ST elevation is often seen in all leads universally. ST segment elevation is seen in other cardiac conditions such as STEMI, pulmonary embolism, therefore this finding is not pathognomonic. Educational Objective: |
| Approved | Approved::No |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |