WBR0017: Difference between revisions
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|QuestionAuthor=Raviteja Reddy Guddeti, Aarti Narayan | |QuestionAuthor=Raviteja Reddy Guddeti, Aarti Narayan | ||
|ExamType=USMLE Step 2 CK | |ExamType=USMLE Step 2 CK | ||
|Prompt=A 65 year old male initially presents to the ER with crushing, retrosternal chest pain aswell as nausea and diaphoresis for more than 20 minutes of duration. Percutaneous coronary intervention was performed within 2 hours of arrival to the ER. The patient recovered over the next few days. The patient presented to the doctors office 6 weeks after being discharged, with a mild, retrosternal chest pain that was aggravated by a supine position, and relieved by leaning forward. He also has a mild cough and runny nose consistent with recent upper respiratory tract infection. Complete blood count was normal. What is the most likely diagnosis? | |Prompt=A 65 year old male initially presents to the ER with crushing, retrosternal chest pain aswell as nausea and diaphoresis for more than 20 minutes of duration. Percutaneous coronary intervention was performed within 2 hours of arrival to the ER. The patient recovered over the next few days. The patient presented to the doctors office 6 weeks after being discharged, with a mild, retrosternal chest pain that was aggravated by a supine position, and relieved by leaning forward. He also has a mild cough and runny nose consistent with recent upper respiratory tract infection. Complete blood count was normal. What is the most likely diagnosis? | ||
|Explanation=The correct answer is Dressler’s syndrome. Dressler's syndrome or post myocardial infarction syndrome is a form of pericarditis that occurs in the setting of injury to the heart as a result of myocardial infarction. Dressler's syndrome typically occurs 2 to 10 weeks after the myocardial infarction occurs. | |||
|AnswerA=Acute pericarditis | |AnswerA=Acute pericarditis | ||
|AnswerB=Tuberculous pericarditis | |AnswerB=Tuberculous pericarditis | ||
Revision as of 17:24, 12 February 2013
| Author | PageAuthor::Raviteja Reddy Guddeti, Aarti Narayan |
|---|---|
| Exam Type | ExamType::USMLE Step 2 CK |
| Main Category | |
| Sub Category | |
| Prompt | [[Prompt::A 65 year old male initially presents to the ER with crushing, retrosternal chest pain aswell as nausea and diaphoresis for more than 20 minutes of duration. Percutaneous coronary intervention was performed within 2 hours of arrival to the ER. The patient recovered over the next few days. The patient presented to the doctors office 6 weeks after being discharged, with a mild, retrosternal chest pain that was aggravated by a supine position, and relieved by leaning forward. He also has a mild cough and runny nose consistent with recent upper respiratory tract infection. Complete blood count was normal. What is the most likely diagnosis?]] |
| Answer A | AnswerA::Acute pericarditis |
| Answer A Explanation | AnswerAExp:: |
| Answer B | AnswerB::Tuberculous pericarditis |
| Answer B Explanation | AnswerBExp:: |
| Answer C | AnswerC::Post-cardiac injury pericarditis |
| Answer C Explanation | AnswerCExp:: |
| Answer D | AnswerD::Dressler’s syndrome |
| Answer D Explanation | AnswerDExp:: |
| Answer E | AnswerE::Idiopathic |
| Answer E Explanation | AnswerEExp:: |
| Right Answer | RightAnswer:: |
| Explanation | [[Explanation::The correct answer is Dressler’s syndrome. Dressler's syndrome or post myocardial infarction syndrome is a form of pericarditis that occurs in the setting of injury to the heart as a result of myocardial infarction. Dressler's syndrome typically occurs 2 to 10 weeks after the myocardial infarction occurs. Educational Objective: |
| Approved | Approved::No |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |