Acute pericarditis: The Daily PANCE Blueprint

Acute pericarditis: The Daily PANCE Blueprint

A patient has pleuritic chest pain relieved by sitting up and leaning forward. What is the most likely diagnosis?

A. Pericarditis
B. Aortic dissection
C. Pulmonary embolism
D. Acute cholecystitis
E. Peptic ulcer disease

Answer and topic summary

The answer is A. Pericarditis

The classic presentation for pericarditis is sharp, pleuritic chest pain that is characteristically relieved by sitting and leaning forward. On a 12-lead EKG, you would expect to see diffuse ST elevations across almost all leads. First-line medical treatment typically includes Aspirin and NSAIDs

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Cardiology ⇒ Traumatic, infectious, and inflammatory heart conditions ⇒ Acute pericarditis

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