Myocarditis is an inflammation of the muscle layer of the heart. Frequently, myocarditis is of a viral origin in the United States. A client who is bulimic comes into the ED presenting with chest pains
She rates her pain as sharp, but relief comes by sitting upright.
a. What other symptoms do you think you might see in this client? Why?
b. What diagnostic findings will you expect to find?
Students' answers should include the following:
a. Focus on discussion should be on myocarditis related to the client being bulimic and possibly using chemical methods to produce emesis, therefore causing undo stress on her heart. List signs and symptoms also present with myocarditis in the discussion such as lung sounds, fatigue, dyspnea, low-grade fever, possible cyanosis, and tachycardia.
b. Discussion should include, but not be limited to, electrolytes, WBCs, C-reactive protein, cardiac enzymes, ECG, chest radiography, and what these tests might show.
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