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Trial – Pericarditis

Patient information

19-year-old male.

Medical history: No previous medical history.

Symptoms: One week prior to admission the patient felt discomfort becuse of mild fever and flue-like symptoms. 18 hours prior to admission the patient started feeling a sharp and stabbing chest pain that worsend with deep breaths and when lying flat. The patient started getting fever again.

ECG: Diffuse upsloping ST-segment elevations seen best in leads II, III, aVF, and V2 to V6. Subtle PR-segment deviation (positive in aVR, negative in most other leads).

ECHO: Pericardial effusion between the visceral and parietal pericardium. Fibrin threads can be observed.

Chest XRAY: Enlarged heart shadow and discrete pleural effusion.