An adolescent boy presents with complaints of chest pain that is exacerbated by coughing and deep breathing. During auscultation, the nurse finds that the patient’s heart sounds are muffled. What is the most likely cause of his symptoms and the muffled heart sounds?
  1. Dressler’s syndrome
  2. Aortic dissection
  3. Myocardial infarction
  4. Pericarditis
Explanation
Answer: D - The most likely cause of the patient’s symptoms and the muffled heart sounds is pericarditis. In adolescents, pericarditis can be caused by adenovirus or Coxsackie virus.
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