PivotShift msk pocus sign diagnosis lung effusion pathophysiology hemothorax 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

ASA, Kussmaul's sign ... edema, and clear lungs ... circumferential pericardial effusion ... expiration not meeting diagnostic ... #a4c #pocus #clinical

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