A 60 year old pt who has had a MI a week back presents with dyspnea and pericardial rub. ECG
shows ST elevation. CXR: loss of margin at costo-vertebral angle. What is the single most likely
- a. Cardiac tamponade
- b. Mitral regurge
- c. Dressler’s syndrome
- d. Atrial fib
- e. Emboli
Ans. The key is C. Dressler’s syndrome. [Usually Dressler’s syndrome tends to occur 2 – 3 weeks after MI.
In Dressler’s syndrome there occurs pericarditis (pericardial rub is common) with widespread ST
elevation. Dressler’s syndrome, is characterized by combinations of pericarditis, pleuritis, and
pneumonitis. This pleuritis is responsible for pleural effusion leading to loss of margin at costo-vertebral
A 57 year old woman who is suffering from hypertension, presented to the hospital with
complaints of recurrent falls when trying to get out of bed or getting up from sitting. She is on
some anti-hypertensive therapy with no other medical problems. What is the cause of her fall?
- a. CCB
- b. Vertibrobasiliar insufficiency
- c. Thiazide
- d. Hypoglycemia
- e. Infection
Ans. The key is C. Thiazide. [It causes postural hypotension by volume depletion].