jump to exam page:
NBME Step 2 CK Free 120 Answers
so PE was on my differential... why do we immediately jump to pleurisy???
...and if aspirin doesn't work, what are the chances of ibuprofen doing much better?
Stone cold normal vital signs and recent viral infxn symptoms points significantly towards viral pleurisy. Aspirin did relieve the symptoms a bit as well. She gets zero points on the Well's criteria, not sure why PE would be super high on someone's differential.
What is "splinting"....?
Respiratory splinting is defined as reduced inspiratory effort as a result of sharp pain upon inspiration (severe pleuritic chest pain).
Post viral pericardial effusion should be on someone differential!!
I pick EKG.
even in amboss says do a EKG to rule out other cause like peri effusion
Replace all pericardial effusion with Pericarditis. Thats what was in my head
Ok. i got my answer.
sx is unilateral. if it was pericardial shit would be in middle
on cardiac exam no abnormalities. pericarditis would have scracthing sounds
chest xray showed no abnormalities than means no pleural effusion either if it was in someones mind.
^^ i guess that makes sense but this q makes me mad
submitted by ∗lm4(23)
FYI: apthos ulcers are not a contraindication to NSAIDs- regular GI ulcers are