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Posted by Rog Walker  |  10 Aug 2024
10 Aug 2024

Constructive pericarditis

If no Kussmaul sign, unlikely constrictive pericarditis or cardiac tamponade( absence of muffled heart sounds also rules this out).

No forward symptoms, thus rules out aortic stenosis.

Being an acute condition rules out MVP as MVP in a chronic setting can progress to Right heart failure symptoms.

But here it's an acute presentation, so most probably acute post-MI Right ventricular failure.

Question:
A 60-year-old man presents with difficulty breathing and swelling in his feet. On physical examination, the patient has distended jugular veins, liver enlargement, and pitting edema in the lower extremities. Which of the following is the most likely diagnosis?
Options:
A)Aortic stenosis
B)Cardiac tamponade
C)Constrictive pericarditis
D)Mitral valve prolapse
E)Myocardial infarction
→ View this question

Constructive pericarditis

If no Kussmaul sign, unlikely constrictive pericarditis or cardiac tamponade( absence of muffled heart sounds also rules this out).

No forward symptoms, thus rules out aortic stenosis.

Being an acute condition rules out MVP as MVP in a chronic setting can progress to Right heart failure symptoms.

But here it's an acute presentation, so most probably acute post-MI Right ventricular failure.

Question:
A 60-year-old man presents with difficulty breathing and swelling in his feet. On physical examination, the patient has distended jugular veins, liver enlargement, and pitting edema in the lower extremities. Which of the following is the most likely diagnosis?
Options:
A)Aortic stenosis
B)Cardiac tamponade
C)Constrictive pericarditis
D)Mitral valve prolapse
E)Myocardial infarction
→ View this question