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Case
19 yo Male
CC : Chest pain since 4 hours before admision
Sharp quality, middle-left chest, non radiating
Other symptoms : fever with flu-like symptoms from
1 week before admision
Risk factors: DM -, HT -, Non Smoker, Family history -
Case
Physical exam:
BP: 120/80, HR: 112 bpm, RR: 28 x/mnt, SO2:
99% (O2 binasal)
Temp ax.: 38.5 C
Heart: S1/S2 normal, no murmur or gallop
Lung: no ronchi / wheezing
ECG
Other Diagnostic
CKMB : 39, Trop I : +, WBC : 12.000
TTE Inferolateral akinesis, with borderline
LV function
Diagnosis :
ACS - STEMI
CMR
ACUTE PERI-MYOCARDITIS
Results
In other words:
Summary
The shape of the ST-segment elevation, the leads
involved, other features of the EKG, the clinical setting,
and most important, awareness of the conditions that
mimic infarction can help differentiate the conditions