head ekg pocus a4c sign elbow management workup fracture orthopedics pericarditis 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

She had gained 15 ... kg and swollen ... ASA, Kussmaul's sign ... to workup right-heart ... #a4c #pocus #clinical

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