First impression

Clinical case 24-year-old university student presenting with Pleuritic Rt-sided chest pain.Came to UK 1 month ago. Has generally been unwell for the past 2/52 but developed pleuritic pain last 2 […]

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Clinical case

24-year-old university student presenting with Pleuritic Rt-sided chest pain.Came to UK 1 month ago. Has generally been unwell for the past 2/52 but developed pleuritic pain last 2 days. Temp ++.

CXR and ECG as shown. Bloods unremarkable and trop 3( low).

Clinical impression :

Atypical chest pain. Large complexes on ECG due to slim build.

Plan :

Discharge.

POCUS :

  1. Dilated cardiomyopathy
  2. Small Pericardial effusion

Progress :

Admitted for further workup.

Final Diagnosis: Tuberculous Myoparicarditis