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Pericardial Disease

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20120805

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Pericardial Disease




A 42-year-old African American Female develops chest pain while driving. Pain is 8/10 in intensity over left breast and makes her hold her breath. There is no radiation of the pain and no other associated features. Her sister has SLE.

On Examination:
No signs of lupus.
BP 120/70 P 78/m
CVS: JVP not elevated
PMI not displaced
Heart sounds normal
Sharp triphasic scratchy sound over the area of Chest pain
Chest: Clear
Abdomen: No organomegaly
CXR: Normal
EKG: Diffuse ST segment elevation.

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