DrVirgo
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A?
Constritive pericarditis: lymphoma as risk factor, pericardial knock & distant heart sound on heart exam; r/o cor pulmonale b/c no pulm etiology of RVH; lungs are clear, so can’t be left heart failure or mitral stenosis; no murmur resembling tricuspid.
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| robin082006
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| doc_clotaire
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A 
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| kpmle2
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AA
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| cirus
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This pt has:
An early diastolic sound at apex.
Right sided heart failure ( Enlarged liver, asites, peripheral edema)
Clear lungs?????
so if its constrictive pericarditis, it would have affected the lung, too. & not a clear lung)
ill go for tricusped regurge
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| khorshid
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A radiation induced pericarditis
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| Drtweetie
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Agree w/ pericarditis
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