robin082006
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A 44-year-old woman presents with a chief complaint of a sharp, stabbing pain in her chest for the past 12 hours. A careful history reveals that the patient experienced a myocardial infarct 3 years ago. The woman refuses to lie down in the examining room and instead leans forward, stating that it allows her to breathe more easily. Physical examination is unremarkable. The ECG demonstrates diffuse ST segment elevations with upright T waves. Chest radiographs appear normal. Creatine kinase (MB fraction) is normal. Which of the following is the most likely diagnosis?
A.  Acute pericarditis
B. .gif) Dissecting aortic aneurysm
C. Myocardial infarction
D. Stable angina
E. Unstable angina
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| reet
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A.. acute pericarditis?
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| msyamp
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yes acute pericarditis.
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| Natasa
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Acute pericarditis
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| sturge_weber
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well yes acute pericarditis
pain relieved by leaning forward
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| robin082006
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you all got it
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| druas
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one more thing to add....a diffuse ST segment elevation was a give away.............
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