show me ur knowledge...

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show me ur knowledge...

Post  Ahmed Al-Kaisy on Wed Dec 19, 2007 10:51 am

A 35 years old male, presents with intermittent, sharpe, misternal chest pain. the pain is somewhat worse with inspiration and associated with mild dyspnea. several weeks prior, he and his children had "cold" symptoms. what is the most likely diagnosis?

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hi

Post  besma on Sat Dec 22, 2007 10:06 am

the pain is worse with inspiration and exertion following chest infection .. i think pericarditis

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hi

Post  Ahmed Al-Kaisy on Sun Dec 23, 2007 11:41 pm

ur thinking is right...it is acute viral pericarditis...

now, what finding u may find when u examine this patient, and what r the ECG changes that may occur in acute pericarditis?

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Re: show me ur knowledge...

Post  besma on Tue Dec 25, 2007 8:53 am

on examination there is pericardial friction rub.
ECG finding is st elevation in all the leads with carachteristic downward concavity

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Re: show me ur knowledge...

Post  Ahmed Al-Kaisy on Tue Dec 25, 2007 9:08 pm

it's right...also there may be PR segment depression (not mentioned in davidson)....

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Re: show me ur knowledge...

Post  Ahmed Al-Kaisy on Tue Dec 25, 2007 9:14 pm

NOW, if the patient developed dyspnea and the percardial friction rub disappeared? what do u suspect? and what investigation u may do to confirm ur suspecsion?

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Hello

Post  Mohammad Tayeb on Wed Dec 26, 2007 1:05 pm

If the friction rub disappear & the dyspnea remain we think of Pericardial effusion that progress to cardiac tamponade ..... so to make sure about it , send the patient for Echo ..... CT or MRI scan can be usefull.

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I will show u my knowledge but not now

Post  sufyan on Wed Dec 26, 2007 8:42 pm

It is viral pericarditis and as mohmed said it became pericardial effusion
and the ECG FINDING in pericardial effusion would be (as i think) is a low voltage in all leads

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Re: show me ur knowledge...

Post  Ahmed Al-Kaisy on Thu Dec 27, 2007 12:04 am

ur answer is right dear mohammed....

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Re: show me ur knowledge...

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