Leg physicalexam knee chamberviews sign effusion diagnosis hypothyroid jvp echocardiogram

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

kg and swollen legs ... 100/82, HR 74, JVP ... ASA, Kussmaul's sign ... circumferential pericardial effusion ... expiration not meeting diagnostic

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