Clinical orthopedics sign radiology ekg msk physicalexam tear jvp kussmauls biceps veins a4c preop

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Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness

100/82, HR 74, JVP ... 15 cm ASA, Kussmaul's ... sign, marked pedal ... of the hepatic vein ... Echocardiogram #a4c

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Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be

indicated • EKG ... Obtain EKG if: ... Change in clinical ... echo in the last year ... Intraabdominal - Orthopedic

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