]> 2026-07-31T07:52:01+00:00 WBR0560 0 en Pericardial effusion Myocarditis '''Correct:''' See explanation. Endocarditis Myocardial infarction Constrictive pericarditis Emergency Room A 14-year-old boy presents to the ER with cough, fever, and malaise for the past 5 days. Since yesterday he has complaints of fatigue, rapid breathing, and breathlessness while walking. On physical examination, he is dyspneic with cyanosis and pedal edema. His HR is 120/min. On cardiac auscultation, gallop rhythm is present and heart sounds are muffled. Peripheral pulses are very difficult to get and jugular venous pressure is raised. Liver is palpable 5cm below costal margin with tenderness. ECG shows low voltage QRS complexes in the limb leads. Diffuse ST segment elevation and T-wave inversion are present. Chest X ray shows massive cardiomegaly with hilar vascular congestion and pulmonary edema. What is the most likely clinical diagnosis? B Cardiovascular Pediatrics 2020-10-28T00:57:57Z 2459150.5402431 WBR0560