Intensive Care Medicine (ICM) Practice Exam

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What clinical finding may suggest myocarditis?

Unexplained fever
Wheezing
Severe chest pain
Hematuria

The correct answer is: Unexplained fever

Unexplained fever can be a significant clinical finding suggesting myocarditis. Myocarditis, which is an inflammatory condition of the heart muscle often caused by a viral infection, may present with systemic symptoms such as fever as a result of the body’s immune response to the infection. This can occur in conjunction with other symptoms like fatigue, palpitations, or shortness of breath, making fever a vital clue in recognizing potential myocarditis. In contrast, wheezing is more commonly associated with respiratory conditions, severe chest pain can be indicative of a range of cardiac issues but is not specific to myocarditis, and hematuria relates to kidney or urinary tract issues, which do not have a direct connection to myocarditis. Thus, while all these findings can signal serious health issues, the presence of unexplained fever is particularly noted as a red flag in the context of myocarditis diagnosis.