A 47 y/o male sees his physician complaining of shortness of breath, weakness and light-headedness. Px...

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A 47 y/o male sees his physician complaining ofshortness of breath, weakness and light-headedness. Px historyshows that he had a â€˜heart murmurâ€™ during childhood. The physiciannotes that the Px has an irregular heartbeat with palpitations withactive pulsing seen in the neck and pitting edema in the lowerextremities. The physician refers the Px to the cardiovascular unitwhere he undergoes a chest X-ray, an ECG, an echocardiogram andfinally a cardiac catherization where it is found he hasregurgitation of the tricuspid valve. The Px undergoes a successfuloperation to replace the damaged valve with a bioprosthetic valve.However, 11 days after the operation, the Px has the same symptomsprior to surgery, but this time he is spiking a fever.
Based on these observations, what would your diagnosisbe?
What further tests would you run to support yourdiagnosis?

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4.4 Ratings (945 Votes)

the most likely diagnosis is Postpericardiotomy syndrome Explanation Postpericardiotomy syndrome PPS is seen after surgeries where pericardium is damaged Example Valve replacement surgery coronary artery bypass surgery Coronary stent placement Repair of congenital heart anomalies like tetralogy of Fallot repair of the ventricular septal defect atrial septal defect cardiac See Answer

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