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WEBMD EDADS103, RECURRENT PERICARDITIS
Posted on: 05/05/21
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Categories/Roles:

PATIENT/KRISTA L.
45-55 / Female / All Ethnicities
Overweight (average height, but ~165 lbs)
Please dress in business casual clothing with neat hair.
Also, have a few additional choices of wardrobe (slacks/khakis and blouse/sweaters are preferred). The patient is a woman living in the United States.
Demeanor should be somewhat uncomfortable or anxious, concerned.
Krista L. is a 45-year-old engineer who was diagnosed with idiopathic acute pericarditis in the emergency department 18 months ago. She was initially treated with ibuprofen and colchicine. At a follow-up visit to a cardiologist 1 week later, she reported that her chest pain had resolved. She was tapered off ibuprofen over the next week and continued colchicine.
Six weeks later, her pericarditis recurred, and ibuprofen was reinitiated while colchicine was continued. At a follow-up visit one week later, signs and symptoms of pericarditis persisted. Low-dose prednisone was added to her treatment regimen. At a one-week follow-up visit, her chest pain and other signs and symptoms of pericarditis had resolved, prompting steroid tapering.
About 2 months ago, Krista experienced another recurrence of pericarditis, and a regimen of ibuprofen, colchicine, and low-dose prednisone was reinitiated. Steroid tapering was initiated 1 month ago following treatment response.
Krista presents today via telemedicine visit with sudden sharp chest pain and low-grade fever.
Family and Social History
Krista's parents are both alive and well. Her father has hyperlipidemia that is controlled with statins. Her mother has no significant medical history.
She has a younger brother with no relevant medical history.
Krista is an engineer at an environmental remediation firm.
She is married and has no children.
She drinks one glass of red wine every evening and does not use tobacco or recreational drugs.

DOCTOR
35-50 / Male / All Ethnicities
Please dress in business casual clothing with neat hair.
Also, have a few additional choices of wardrobe (slacks/khakis and blouse/sweaters are preferred). The HCP is a cardiologist working in a practice in the United States.
Demeanor should be professional, with a balance of confidence and compassion in his tone of voice.




 
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