Patient with history of breast cancer presents with progressive shortness of breath with elevated JVP, hypotension, pulsus paradoxus (drop in BP by at least 10 mm Hg on inspiration), enlarged heart on CXR and decreased voltage on ECG, most consistent with cardiac tamponade (likely secondary to cancer recurrence and metastasis to the pericardium)
notyasupremeDoesn't tamponade not cause pulmonary edema / crackles since it's usually right sided heart failure? I picked it anyways, but remember a UWorld question about that vs. AR+
submitted by โstep_prep(148)
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