Angela Philips and Tarun Betha*

Senior Resident, Department of General Medicine, Jaipur National University Medical College and Research Center, Jaipur, India

*Corresponding Author: Tarun Betha, Senior Resident, Department of General Medicine, Jaipur National University Medical College and Research Center, Jaipur, India.

Received: January 31, 2023; Published: March 06, 2023

Abstract

A 26-year-old male, tile mason from Jaipur, India, presented with a one-year history of intermittent chest pain and recent onset breathlessness. He denies having a cough, fever, loss of appetite or weight loss. Before coming here, he consulted GPs and was treated for noncardiac chest pain and dyspepsia. He does not smoke and does not drink alcohol. He has intermittent chest pain in the midsternal and epigastric region that worsens when he takes a deep breath turns to either side or coughs. He does not have orthopnea, PND, cough, palpitations, presyncope, or syncope. An electrocardiogram was performed several times before this admission and revealed no abnormalities. His symptoms improved a bit after he was prescribed antacids (H+ blockers) and analgesics (NSAID). He was referred to our hospital as he had recently developed dyspnea during excretion (NYHA class-II). 

His blood pressure at admission was 118/70mm of Hg, Heart rate- 88bpm, Spo2 98% on Ambient air.  ECG- sinus rhythm.

He had Grade-2 pitting type, bilateral pedal oedema and no pallor, icterus, clubbing, or lymphadenopathy. Heart sounds were normal, with no murmurs and bilateral vesicular breath sounds with basal crepitations. Mild, non-tender splenomegaly was present."

 Keywords: Pericarditis; Chest Pain; Breathlessness

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Citation

Citation: Angela Philips and Tarun Betha. “A 26-Year-Old Male with Chronic Chest Pain, Breathlessness and Thickened Pericardium”.Acta Scientific Medical Sciences 7.4 (2023): 44-48.

Copyright

Copyright: © 2022 Angela Philips and Tarun Betha. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.