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Discussion Starter · #1 ·
A 62-year-old breast cancer survivor visits her physician because of weakness, fatigue, fever, and weight gain 5 years following her radiation therapy. The physician also elicits complaints about abdominal discomfort and exertional dyspnea. Physical examination reveals hepatomegaly and jugular venous distention that fails to subside on inspiration, but shows no evidence of hypotension or pulsus paradoxus. An echocardiogram shows reduced end-diastolic volumes and elevated diastolic pressures in both ventricles. Which of the following is the most likely diagnosis?

A. Cardiac tamponade
B. Congestive heart failure
C. Constrictive pericarditis
D. Dilated cardiomyopathy
E. Recurrence of breast cancer
 

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Discussion Starter · #3 ·
yep

The correct answer is C.

Constrictive pericarditis interferes with the filling of the ventricles because of granulation tissue formation in the pericardium. It can follow purulent viral infections, trauma, neoplastic diseases, mediastinal irradiation, and other chronic diseases. Pericardial thickening and calcification are sometimes apparent on CT and MRI.
 

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The correct answer is C.

Constrictive pericarditis interferes with the filling of the ventricles because of granulation tissue formation in the pericardium. It can follow purulent viral infections, trauma, neoplastic diseases, mediastinal irradiation, and other chronic diseases. Pericardial thickening and calcification are sometimes apparent on CT and MRI.
yeah ,i was thinking about cardiac tamponade til i see no evidence of hypotension and pulsus paradoxus
 
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