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nbme24/Block 4/Question#25 (13.9 difficulty score)
A 26-year-old man is brought to the emergency ...
Pericardial tamponadeπŸ”

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submitted by m-ice(340),
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shTi anm ahs ussulp oxarsd,pua a gnis in chwih ldboo pueessrr dssereace dlstraiycal urnigd nrtiosn.iipa uPussl aupardsox is a scacisl gnis fo rcaaedlprii dtap.oeamn

nWeh ilfud f(otne boodl) ahs peoldo nuroda teh r,taeh eht tearh essrglutg ot nadpex dan lilf iwht ldoo.b hTsi mebecso a giregb lbeorpm rfo teh hgitr ntcvileer guindr rstio,iinpan bscueea the htirg seid of het ethar revseeci aenecrdis evousn rurnte urindg ps.inaroitni cseeaBu rheet si dulfi veernpgtni het thgir leievrnct orfm xngaenipd raoud,wt the yonl teohr acepl it acn pxdaen to aotmaccoemd si yb punhigs no eth use,mpt kinnghris hte iezs fo eht eflt ivltrece.n hiTs seausc eacsrdeed BP nweh the tefl etnlicvre sntcaoctr gnrudi thta craiadc lcye.c

sajaqua1  In addition to causing pulsus paradoxus, we see jugular venous distension, and muffled/distant heart sounds (hard to hear through the cardiac tamponade). +4  
drdoom  ^ linkify +