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Reveal Answer There are features suggestive of pericarditis: Widespread concave ST elevation Subtle downsloping PR depression in limb (I, aVL) and precordial (V3-6) leads Subtle PR elevation in aVR But also features suggestive of BER: ST elevation is markedly more prominent in precordial leads (especially V2-5) J-wave notching with fish-hook pattern in V3-4 Prominent precordial T waves ST / T wave ratio of 0.16 These ECG appearances could be caused by BER alone, although it is possible that this ECG represents BER with superimposed pericarditis
Of course, attention was super friendly and responses quick
Add a 7lb hooklength with a barbless 12 (you can buy ready tied hooklengths with bait bands for floating pellets and boulies) and youre in business
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