A young woman present with severe chest pain aggravated by inspiration, and relieved on recumbent position. on exam she has a crunchy systolic sound i

[ponyo]

#january2020amc1

A young woman present with severe chest pain aggravated by inspiration, and relieved on recumbent position. on exam she has a crunchy systolic sound in left sternal border, she has H/o pulmonary embolism before. what inv to do to reach dx?

a. ana
b. ctpa
c. V/q scan
d. ANCA
e. CT scan of chest

 

[Tiffany Wong]

e. CT scan of chest