nbme question 16, your answer?

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nbme question 16, your answer?

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nbme question 16, your answer?

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3 Posts

Summer.Thunder
Forum Elite

Topics: 71
Posts: 180

11/25/07 - 02:01 AM

56 year old man, had fever, pleuritic chest pain for 1 day, he was admitted to hospital 3 weeks ago due to actue transmural anterior myocardial infarction. he has taken beta-adrenergic blocking agent and aspirin since being discharged. a friction rub is head over his precordium. which is the likely cause?

1. autoimmune reaction
2. postviral inflammation

the answer was different than the one that i picked, so i want to know why?

SmokyWaters
Forum Elite

Topics: 6
Posts: 458

11/25/07 - 04:02 AM

its just an autoimmune inflammatory reaction...
autoimmune reaction is Dressler's syndrome which is usually after 1 week - many months

treatment is Aspirin/NSAIDS/Glucocorticoids..

Summer.Thunder
Forum Elite

Topics: 71
Posts: 180

11/25/07 - 05:52 AM

yes, you are right, i was thinking about inflmmation, now i know why, thanks

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