WBR0022: Difference between revisions
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|QuestionAuthor=Aarti Narayan MBBS, Raviteja Reddy Guddeti MBBS | |QuestionAuthor=Aarti Narayan MBBS, Raviteja Reddy Guddeti MBBS | ||
|Prompt=A 65 yr old male patient with chronic renal failure with uremia, on dialysis, presents to the clinic with progressive shortness of breath for the past few months. He also complains of weakness, fatigue and weight gain. Physical examination shows an increased abdominal girth, bilateral pedal edema, hepatomegaly and an increase in jugular venous pressure on deep inspiration. Auscultation revealed an extra diastolic sound. Chest X-ray shows calcification in the precordial area, and EKG showed diffuse low voltage QRS complexes with flattened T waves. What is the best initial therapy in this patient? | |Prompt=A 65 yr old male patient with chronic renal failure with uremia, on dialysis, presents to the clinic with progressive shortness of breath for the past few months. He also complains of weakness, fatigue and weight gain. Physical examination shows an increased abdominal girth, bilateral pedal edema, hepatomegaly and an increase in jugular venous pressure on deep inspiration. Auscultation revealed an extra diastolic sound. Chest X-ray shows calcification in the precordial area, and EKG showed diffuse low voltage QRS complexes with flattened T waves. What is the best initial therapy in this patient? | ||
|Explanation=The correct answer is diuretics. Dietary sodium restriction and diuretics are useful before surgery to relieve the congestive symptoms of constrictive pericarditis and fluid overload. The thickened and calcified pericardium in chronic constrictive pericarditis causes a rise in end diastolic pressures causing pulmonary and systemic congestion. Caution should be maintained while prescribing diuretics as their overuse causes hypotension due to drop in pressures. | |||
|AnswerA=Beta blockers | |AnswerA=Beta blockers | ||
|AnswerB=ACE inhibitors | |AnswerB=ACE inhibitors | ||
Revision as of 20:50, 12 February 2013
| Author | PageAuthor::Aarti Narayan MBBS, Raviteja Reddy Guddeti MBBS |
|---|---|
| Exam Type | ExamType:: |
| Main Category | |
| Sub Category | |
| Prompt | [[Prompt::A 65 yr old male patient with chronic renal failure with uremia, on dialysis, presents to the clinic with progressive shortness of breath for the past few months. He also complains of weakness, fatigue and weight gain. Physical examination shows an increased abdominal girth, bilateral pedal edema, hepatomegaly and an increase in jugular venous pressure on deep inspiration. Auscultation revealed an extra diastolic sound. Chest X-ray shows calcification in the precordial area, and EKG showed diffuse low voltage QRS complexes with flattened T waves. What is the best initial therapy in this patient?]] |
| Answer A | AnswerA::Beta blockers |
| Answer A Explanation | AnswerAExp:: |
| Answer B | AnswerB::ACE inhibitors |
| Answer B Explanation | AnswerBExp:: |
| Answer C | AnswerC::Diuretics |
| Answer C Explanation | AnswerCExp:: |
| Answer D | AnswerD::Pericardiocentesis |
| Answer D Explanation | AnswerDExp:: |
| Answer E | AnswerE::Pericardial resection |
| Answer E Explanation | AnswerEExp:: |
| Right Answer | RightAnswer:: |
| Explanation | [[Explanation::The correct answer is diuretics. Dietary sodium restriction and diuretics are useful before surgery to relieve the congestive symptoms of constrictive pericarditis and fluid overload. The thickened and calcified pericardium in chronic constrictive pericarditis causes a rise in end diastolic pressures causing pulmonary and systemic congestion. Caution should be maintained while prescribing diuretics as their overuse causes hypotension due to drop in pressures. Educational Objective: |
| Approved | Approved::No |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |