Pt with muffled heart sound, Kussmaul sign and calcification on x-ray, what is the most likely diagnosis?
سؤال مجاني 2 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: A. Constrictive pericarditis
Kussmaul sign (JVP rising with inspiration) plus pericardial calcification on imaging is classic for constrictive pericarditis, where a thickened, calcified pericardium restricts diastolic filling. Tamponade shows pulsus paradoxus with an enlarged globular heart, not calcification; restrictive cardiomyopathy can mimic constriction but does not calcify the pericardium.
ليش كل خيار صح أو غلط
-
A
ليش صح
Constrictive pericarditis is thickening and calcification of the pericardium that impairs filling, giving raised JVP with Kussmaul sign (JVP fails to fall on inspiration).
✓ CARDIOLOGY - PERICARDIAL DISEASES.pdf · p. 4 -
B
ليش غلط
Tamponade is acute fluid compression with Beck triad (hypotension, muffled sounds, elevated JVP) and pulsus paradoxus; CXR shows an enlarged silhouette with clear lungs. Calcification is not a tamponade feature.
✓ Step Up To Medicine 6th(Pericardial disease).pdf · p. 7 -
C
ليش غلط
In restrictive cardiomyopathy the pericardium is normal and the myocardial septum is rigid (concordant LV and RV end-diastolic pressures), so a calcified pericardium does not fit.
✓ 7• Pericardial Diseases [Notes].pdf · p. 8 -
D
ليش غلط
Dilated cardiomyopathy is the floppy heart: thin, weak ventricles with globular chambers (a primary myocardial problem), not a calcified pericardium.
✓ (Y4)-(M B) Heart failure.pdf · p. 1 -
E
ليش غلط
Acute pericarditis gives pleuritic, positional chest pain and a friction rub. Kussmaul sign and the pericardial knock are findings of constrictive pericarditis instead.
✓ 7• Pericardial Diseases [Notes].pdf · p. 3
- المصدر
- Step Up To Medicine 6th(Pericardial disease).pdf · p. 4
CARDIOLOGY - PERICARDIAL DISEASES.pdf · p. 4 - المحاضرة
- Pericardial Disease · Cardiology · Module B
- ظهر في
- Cardio bank