Talofibular ankle orthopedics sign shoulder anterior glenohumeral effusion radiology 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

ASA, Kussmaul's sign ... circumferential pericardial effusion ... (A) a dilated inferior ... diastolic septal shudder ... Echocardiogram #a4c

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