PANCE Exam Practice Questions: Quiz 253 January 22, 2016 By Aamir Khan Leave a Comment A 53-year-old male presents to the emergency department with a 3-hour history of sharp, pleuritic central chest pain that began at rest. This pain is described as worsening in the supine position and improving whenever he sits up and leans forward. Exam does not reveal a murmur but does reveal a two-phase friction rub heard best at the left lower sternal border. Which of the following would best aid in determining the diagnosis? A. cardiac catheterization B. cardiac enzymes C. electrocardiography D. pericardial window Δ
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