WBR0021
| Author | PageAuthor::Aarti Narayan MBBS, Raviteja Reddy Guddeti MBBS |
|---|---|
| Exam Type | ExamType:: |
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| Prompt | [[Prompt::A 50 yr old male presents to the clinic with history of fatigue, weakness, weight gain, increased abdominal girth, and swelling. History of present illness reveals orthopnea and paroxysmal nocturnal dyspnea. Past history is significant for having undergone radiotherapy for lymphoma. Blood pressure is found to be 100/60 mm Hg, respiratory rate of 15/min and HR 100 beats/min. JVP shows a prominent x and y descent. Abdominal examination shows hepatomegaly and ascites. Auscultation demonstrates distant heart sounds and EKG shows low voltage QRS complexes and fattened T wave. What is the most likely diagnosis?]] |
| Answer A | AnswerA::Constrictive pericarditis |
| Answer A Explanation | AnswerAExp:: |
| Answer B | AnswerB::Acute pericarditis |
| Answer B Explanation | AnswerBExp:: |
| Answer C | AnswerC::Cardiac tamponade |
| Answer C Explanation | AnswerCExp:: |
| Answer D | AnswerD::Cor pulmonale |
| Answer D Explanation | AnswerDExp:: |
| Answer E | AnswerE::Hypertrophic cardiomyopathy |
| Answer E Explanation | AnswerEExp:: |
| Right Answer | RightAnswer:: |
| Explanation | [[Explanation::The correct answer is constrictive pericarditis. The patients past history of irradiation for lymphoma likely caused scarring of the pericardium. Signs of right heart failure along with characteristic JVP findings suggest chronic constrictive pericarditis. Educational Objective: |
| Approved | Approved::No |
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| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |