Concluded Case

ACS or Pericarditis

A male aged 44 years with no kmown comorbidities Chief Complaints Pain Chest (Left side) which is positional Exacerbating on lying supine & releived on bending forward Physical Examination CVA- Rub is heard between apex & sternum with scratching quality

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Concluded answer

Pericarditis

All Answers

Leads II III and aVF, leads I aVL and V2 to V6 shows ST segment elevation with concavity upwards It is classic of pericarditis

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Yes apical rub with positional chest pain relieved in supine with changes of st segment and sinus tachycardia suggestive of pericarditis

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Generalised ST elevation with physical sign of typical rub over front of chest,clinches the diagnosis:ie pericarditis. However rule out other causes and presence of effusion (echocardiography) other tests are needed ,so as the definitive diagnosis (tuberculous)

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Pericarditis

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? Pericardial rub

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