A 51 year old male presents with chest pain and exertional dyspnea for the past 24 hours which began a week after having a trimalleolar ankle fracture repaired.
Chest x-ray shows a right middle lobe infiltrate. WBC is 18.2. CPK is 180 (normal). Troponin is 0.9 (cutoff for acute MI is 0.64).
EKG is shown below (you can click on the image for a larger view).
What’s the diagnosis? What is the treatment?
Answer will be posted in the comments section in a couple of days.
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