Case 146

Published on 13/02/2015 by admin

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Last modified 13/02/2015

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CASE 146

History: A patient presents with fatigue, progressive dyspnea on exertion, and lower extremity swelling after surgical repair of an atrial septal defect.

1. What etiologies can cause this finding? (Choose all that apply.)

A. Open heart surgery

B. Radiation therapy

C. Viral infection

D. Tuberculosis

2. What is the pericardial abnormality in Fig. A?

C. Calcification

3. Given the symptoms and both images, what is the most likely diagnosis?

A. Acute pericarditis

B. Inflammatory constrictive pericarditis

C. Effusive constrictive pericarditis

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