Heart

Matthew S. Slater

doi:10.1007/978-0-387-69012-4_25

Heart

Matthew S. Slater

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

Seven days after undergoing a thoracotomy and repair of a cardiac laceration, a 22-year-old patient develops tachycardia, substernal chest pain (worse on inspiration) and fatigue. He is afebrile and hemodynamically stable. On auscultation, a pericardial friction rub is discovered. Electrocardiography demonstrates ST segment elevation throughout the pericardium. Helical computed tomography scan shows no evidence of a pulmonary embolism. Chest x-ray reveals expanded bilateral lungs and a normal cardiac silhouette. Which of the following would be the most appropriate management approach? (A) Administration of a nonsteroidal antiinflammatory agent (B) Pericardiocentesis (C) Reexploration (D) Insertion of a pulmonary artery catheter (E) Cardiac catheterization

Original language	English (US)
Title of host publication	Acute Care Surgery
Subtitle of host publication	Principles and Practice
Publisher	Springer New York
Pages	389-399
Number of pages	11
ISBN (Print)	0387344705, 9780387344706
DOIs	https://doi.org/10.1007/978-0-387-69012-4_25
State	Published - 2007
Externally published	Yes

ASJC Scopus subject areas

General Medicine

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10.1007/978-0-387-69012-4_25

Cite this

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AB - Seven days after undergoing a thoracotomy and repair of a cardiac laceration, a 22-year-old patient develops tachycardia, substernal chest pain (worse on inspiration) and fatigue. He is afebrile and hemodynamically stable. On auscultation, a pericardial friction rub is discovered. Electrocardiography demonstrates ST segment elevation throughout the pericardium. Helical computed tomography scan shows no evidence of a pulmonary embolism. Chest x-ray reveals expanded bilateral lungs and a normal cardiac silhouette. Which of the following would be the most appropriate management approach? (A) Administration of a nonsteroidal antiinflammatory agent (B) Pericardiocentesis (C) Reexploration (D) Insertion of a pulmonary artery catheter (E) Cardiac catheterization

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ER -

Heart

Abstract

ASJC Scopus subject areas

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