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He presented to the ED because he developed sudden severe, sharp, pleuritic (but not positional), substernal and left mid to lower chestpain. It could also be due to pericarditis or myocarditis, but I always say that "you diagnose pericarditis at your peril." Pericarditis? Learning Points: 1. What happens then?
Additionally, the App also includes a chestpain section, namely EDACS risk score, which is already a well known and validated tool for the approach to acute chestpain (many thanks for its developers and their courtesy for letting us to use it in our App, Martin Than, MD; John Pickering, BSc, PhD, BA and Dylan Flaws, MSc, PhD).
No chestpain. In a previously healthy adolescent ( who is 15 years old in today's case ) — the presentation of an acute febrile illness that is without a complaint of chestpain, is highly unlikely to be due to an acute MI. He was hemodynamically stable. How would YOU interpret the ECG in Figure-1 ?
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