Solve this exciting clinical case specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge. Case presentation A 58-year-old male presents with substernal chest pain, which worsened during inspiration for two days.
The patient has a history of hypertension, a transient ischemic attack and is currently on clopidogrel, atorvastatin, and valsartan. Examination Vitals: PR - 98/minute, BP - 131/78 mmHg, temperature - 36.2° C, 98% oxygen saturation Clinical examination: No pleural rub, no signs of pericarditis on ECG Lab investigations Normal leucocyte count CRP - 44 mg/L (increased) Troponin - 20 ng/L (slightly increased) RT-PCR for COVID-19 – Negative On admission Invasive coronary angiography: No significant findings Contrast-enhanced CT scan: An epipericardial mass present (Shown by the arrow in Figure 1 in…
