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4 votes
Post-MI complications:
5-10wks later pleuritic CP, low grade temp? Dx? Txt?

User Sondergard
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1 Answer

5 votes

Final answer:

The symptoms likely point to Dressler's syndrome, a form of pericarditis following a heart attack. Treatment includes anti-inflammatory drugs and follow-up care to prevent complications.

Step-by-step explanation:

The symptoms described are suggestive of Dressler's syndrome, which is a secondary form of pericarditis occurring weeks after a myocardial infarction (MI). The presentation of pleuritic chest pain (CP), low-grade fever, and the described sputum can be indicative of this condition. Dressler's syndrome is an immune-mediated condition that generally occurs 2 to 10 weeks following the MI. Treatment involves managing inflammation and pain, typically with nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or aspirin.

Colchicine is also frequently used, and in more severe cases, corticosteroids can be prescribed. It is essential for the patient to have a follow-up with their healthcare provider to monitor for any potential complications and to ensure proper healing. Diagnostics for PMIS may include imaging tests like chest X-rays and echocardiograms to assess the heart and lungs, as well as blood tests to check for inflammation markers.

User Cristobal
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