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A 25-year-old man attended the ED with chest pain which came on earlier that morning. It was sharp in nature and radiated to the shoulder. The patient was not short of breath. On direct questioning he admitted to having had a cold over the previous few days. He was otherwise fit and well.
On examination he had a friction rub over the lower left sternal edge. His ECG showed features suggestive of pericarditis. After some investigations in the ED he was sent home on non-steroidal anti-inflammatories (NSAIDs).
Which one of the following features of the pain is most characteristic of pericarditis?
Which one of the following features is most characteristic of a pericardial friction rub?
How many of the following need to be present to make a diagnosis of acute pericarditis?
characteristic chest pain
pericardial friction rub
suggestive ECG changes
new or worsening pericardial effusion
Which one of the following features of chest pain is the most specific for acute pericarditis?
Which one of the following ECG findings is most associated with acute pericarditis?
Which one of the following is characteristic of the T wave and/or ST segment changes seen in acute pericarditis?
Which one of the following is NOT a high risk feature for acute pericarditis?
In addition to the ECG, CXR, FBC, U&E and troponin, which one of the following is required in the ED to complete risk stratification?
Which one of the following is the commonest cause of acute pericarditis?
Which one of the following is a recognised drug treatment regime for idiopathic pericarditis?
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