LatentTB sign diagnosis acltear pediatrics physicalexam clinical trousseau jvp a4c - GrepMed

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

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