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Acute pericarditis with effusion — RCPSC EM MCQ

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ModerateCardiovascular emergenciesAcute pericarditis with effusionRCPSC EM

A 59-year-old man presents with pleuritic chest pain relieved by leaning forward after a viral illness. ECG shows diffuse concave ST elevation and PR depression. Troponin is mildly elevated, BP is normal, and bedside echo shows a small effusion. What is the most appropriate investigation?

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Correct answer: A — Echocardiography to assess effusion and myocardial involvement

Pericarditis with effusion and troponin elevation warrants echocardiography to assess effusion/tamponade and myopericarditis, alongside ECG and biomarkers.

Reference: Royal College Emergency Medicine exam format and training experiences