Question: chest pain
A 14yo boy presents with fever and chest pain for 2 days. The chest pain is pleuritic and worse with leaning back. On examination, lung sounds are clear bilaterally, heart is regular with no murmurs, but a friction rub is heard. Which of the following is true of this condition?
A. Treatment of choice is NSAID therapy
B. All patients must be admitted to the hospital on a cardiac monitor
C. CXR is always abnormal
D. Electrocardiogram most commonly shows ST elevation isolated to leads II, III, and aVF
E. Pain is rarely referred to shoulder or back