Shift diagnosis nephrology signs radiology video lung kussmauls neck veins a4c 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

JVP 15 cm ASA, Kussmaul's ... sign, marked pedal ... edema, and clear lungs ... of the hepatic vein ... #a4c #pocus #clinical

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