A 34-year-old woman comes to the emergency department because of sharp chest pain that radiates to the left shoulder. The pain increases with inspiration and is partially relieved by sitting up and leaning forward. Review of her outpatient medical records shows that she was seen for a facial rash 6 months ago. She is also being evaluated for proteinuria that was identified during her last clinic appointment. Which of the following is the most likely cause of this patient's chest pain?

Question

A 34-year-old woman comes to the emergency department because of sharp chest pain that radiates to the left shoulder.  The pain increases with inspiration and is partially relieved by sitting up and leaning forward.  Review of her outpatient medical records shows that she was seen for a facial rash 6 months ago.  She is also being evaluated for proteinuria that was identified during her last clinic appointment.  Which of the following is the most likely cause of this patient's chest pain?

Quizplus · Accepted Answer

Eductional Objective: Pericarditis is the most common cardiovascular manifestation associated with systemic lupus erythematosus.  It presents with sharp pleuritic chest pain that is relieved by sitting up and leaning forward.

A 34-Year-Old Woman Comes to the Emergency Department Because of Sharp