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Adolescent boy with recent viral illness presenting with fatigue and respiratory distress found on physical exam to have hypotension, lung crackles, and a new cardiac murmur most Probable diagnosis?

Answer:

Adolescent boy with recent viral illness presenting with fatigue and respiratory distress found on physical exam to have hypotension, lung crackles, and a new cardiac murmur most consistent with myocarditis

Most common cause of acute heart failure in young people ismyocarditis, which will almost always follow a viral URI.

 

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