USMLE® Step 1 style questions USMLE
USMLE® Step 2 style questions USMLE
A 58-year-old man comes to the emergency department with chest pain and fever three weeks after his first heart attack. He is hypotensive and fatigued, with a temperature of 101.3o F (38.5o C). He also reports difficulty breathing. Upon auscultation of the left lower sternal border, friction rub is noted. An electrocardiogram is conducted, and shows elevated ST segments in all leads. Given the patient's history and current findings, which of the following is the most likely diagnosis?