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If you hear a friction rub, mark the date on your calendar because it may be a long time before you hear another.
How are you guys use the high sensitivity ESR? Is it like a d dimer, if negative, it rules out pericarditis?
Excellent discussion. Regarding wether or not to get a Troponin in evaluation of these patients I always do for one reason.To help diagnose myocarditis which was eluded to in the discussion. However the most important reason is that NSAID's are CONTRAINDICATED in myocarditis. If you missed a case of myocarditis and wrongly treated presumed pericarditis with NSAID'S that would be bad.
What you do matters.