DDX

VIRAL MYOCARDITIS

RULE IN:
in cardio respiratory distress
palpitations
easy fatiguability
fever
(+) heave
tachycardic (131/min)
cardiac murmur
hepatomegaly ((+) liver edge palpable 5cm beneath right subcostal margin)
grade 2 bipedal edema
Laboratory Results: Lymphocytosis
ECG: non-specific ST-T wave changes

RULE OUT:
(no chest pain)
Cardiac MRI to rule out