A 35-year-old man presents to the emergency department with complaints of chest pain. The pain improves...

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Medical Sciences

A 35-year-old man presents to the emergency departmentwith complaints of chest pain. The pain improves by leaningforward. On review, he has noted a flu-like illness over the lastseveral days including fever, runny nose and cough. Upon furtherinvestigation his blood test indicates signs/parameters forinfection. He denies tobacco, alcohol or drug use. His head andneck examination is notable for clear mucus in the nasal passages.However, his jugular venous pressure is high. Also, during hiscardiac examination a high pitched squeaky sound/knock is heard.Abdominal and extremity examinations are normal.
1) What is the likely diagnosis of this patient?(1 mark)CLO4 and 6
2) What is the pathogenesis process that lead to thedevelopment of this condition and what complications can occur? (1mark) CLO2 and 4
3) What is the cause of this disease in this patient? (1mark) CLO2 and 4
4) What other conditions could cause the same clinicalscenario in a patient of this age? (1 mark)CLO2and 4

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4.3 Ratings (833 Votes)

1 Constrictive pericarditis It is a chronic inflammatory process that involves both fibrous and serous layers of the pericardium and that leads to pericardial thickening and compression of the ventricles The resultant impairement in diastolic filling reduces cardiac function The patient have the history of flue like symptoms Increased jugular venous See Answer

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