Morning Report. Steven Hart, MD. History. CC: increasing DOE HPI 49 y/o AAF Increasing SOB over 1-2 weeks Intermittent Chest pain Leg swelling starting to develop. History. Any thing else you like to know?. History. Chest pain Non-exersional Pleuritic in nature
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Steven Hart, MD
What things might you look for?
Note diffuse ST seg elevations
A – cystic mass
B – calcified pericardium
ASA resistance at 1 week should prompt further investigation
NSAIDS- ClassI (Ibuprofen 300-800mg q6h)
Colchicine- Class IIa
Intrpericardial Steroids –Class IIa
Corticosteroids if refractory to NSAIDSTreatments