Pericarditis and pericardial effusion Quiz: Ace Your Exams
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A 32-year-old man is brought to the emergency department by his roommate due to progressive dyspnea and chest tightness. A week ago, he had an upper viral respiratory infection that resolved spontaneously without treatment. The patient describes the chest pain as sharp, 7/10 in intensity, and relieved by leaning forward. Temperature is 37.0°C (98.6°F), pulse is 110/min, and blood pressure is 85/50 mmHg. On physical examination, heart sounds are weak and jugular venous distention is present. During inspiration, a drop of 10 mmHg in the systolic pressure is noted. Which of the following can explain the drop in blood pressure observed in this patient?
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