cbd clinical sign sports pocus physicalexam pulmonary a4c hand shoulder inferior echocardiogram acutepe sulcus constrictive

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

runner presents to clinic ... ASA, Kussmaul's sign ... (A) a dilated inferior ... diastolic septal shudder ... #a4c #pocus #clinical

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