what is the diagnosis???
A 27 yare old women presents to the emergency room complaining of retrosternal chest pain for he past 2 days .The pain is contrast , not associated with exertion , worsens when she takes a deep breath , and is relieved by sitting up and leaning forward .She denies any shortness of breath , nausea, or diaphoresis.
On examination , her temperature is 99.4 F ,heart rate bpm , and blood pressure 118/72 mmHg.She is sitting forward on the stretcher ,with shallow respirations .Her conjunctivae are clear and her oral mucosa is pink ,with two aphthous ulcers .Her neck veins are not distended, chest was clear and mildly tender on palpation. Heart rate is normal ,sinus rhythm ,harsh sound over the apex during systole and diastole .Abdominal examination shows normal findings ,extremities shows warmth and swelling of the proximal interphalangeal joints of both hands.
Lab test shows WBC is 2100/mm3,Hb=10.4 mg/dL, MCV 94 and Platelets =78,000/mm3. BUN and Cr are in normal range.
Urinalysis test ,WBC=10-20,RBC=5-10 /hpf.
No abnormalities detected in chest x-ray.
The ECG shows as below.
So my question is, What is she suffering from?
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Filed Under: Discussion
as for pain c has pluritic/pericardial type of pain n joint is also involved,oral mucosa,,blood picture is also down
c is in her reproductive yr…
this cld be
SLE presented with pleuritic type of chest pain..n