LatentTB sign diagnosis acltear pediatrics physicalexam clinical kussmauls meningitis a4c

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

JVP 15 cm ASA, Kussmaul's ... sign, marked pedal ... edema, and clear ... expiration not meeting diagnostic ... Echocardiogram #a4c

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