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A 38-Year-Old Man Comes to the Emergency Department Due to 1

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A 38-year-old man comes to the emergency department due to 1 day of left-sided chest and neck pain.  He could not get comfortable the night before and eventually fell asleep in a semi-recumbent position.  He had a sore throat a week ago.  Medical history is also significant for acid reflux disease.
Temperature is 37.2 C (99 F) , blood pressure is 132/80 mm Hg, and pulse is 90/min.  Heart sounds are normal, and lungs are clear to auscultation.  There are no skin rashes.
Laboratory results are as follows:
A 38-year-old man comes to the emergency department due to 1 day of left-sided chest and neck pain.  He could not get comfortable the night before and eventually fell asleep in a semi-recumbent position.  He had a sore throat a week ago.  Medical history is also significant for acid reflux disease. Temperature is 37.2 C (99 F) , blood pressure is 132/80 mm Hg, and pulse is 90/min.  Heart sounds are normal, and lungs are clear to auscultation.  There are no skin rashes. Laboratory results are as follows:   ECG shows sinus rhythm with 1- to 2-mm diffuse ST-segment elevation, except for a 2-mm ST-segment depression in lead aVR.  Chest x-ray reveals normal cardiac size and clear lung fields. Which of the following initial therapies is most likely to cause recurrent symptomatic episodes in this patient? A) Aspirin B) Colchicine C) Immune globulin D) Indomethacin E) Prednisone ECG shows sinus rhythm with 1- to 2-mm diffuse ST-segment elevation, except for a 2-mm ST-segment depression in lead aVR.  Chest x-ray reveals normal cardiac size and clear lung fields.
Which of the following initial therapies is most likely to cause recurrent symptomatic episodes in this patient?


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