Cardiac tamponade Quiz: Ace Your Exams
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A 66-year-old woman is brought to the emergency department by ambulance for shortness of breath. She reports that over the past 2-3 days she has had worsening shortness of breath with, and now without, exertion. She is currently being treated for metastatic breast cancer with chemotherapy and radiation. Past medical history is significant for hypertension, hyperlipidemia, and diabetes. Temperature is 37°C (98.6°F), blood pressure is 90/61 mmHg, pulse is 121/min, respiratory rate is 16/min, and oxygen saturation is 92% on room air. Cardiopulmonary examination demonstrates jugular venous distention. Point of care ultrasound shows a large pericardial effusion and compression of the right ventricle. Which of the following is the best next step in management?
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