A 57-year-old man on haemodialysis has pleuritic chest pain and a pericardial rub. He missed several dialysis sessions. ECG shows diffuse ST

Question

A 57-year-old man on haemodialysis has pleuritic chest pain and a pericardial rub. He missed several dialysis sessions. ECG shows diffuse ST elevation and echocardiography shows a moderate effusion without tamponade. What is the most appropriate management?

Accepted Answer

Increase dialysis intensity and monitor for tamponade

Answer

Long-term high-dose NSAID despite kidney failure

Answer

Immediate thrombolysis

Answer

Warfarin anticoagulation

Answer

Discharge with oral antibiotics

Uraemic pericarditis — RACP Written MCQ

A 57-year-old man on haemodialysis has pleuritic chest pain and a pericardial rub. He missed several dialysis sessions. ECG shows diffuse ST elevation and echocardiography shows a moderate effusion without tamponade. What is the most appropriate management?