]> 2026-07-31T07:29:07+00:00 WBR0021 0 en Constrictive pericarditis Constrictive pericarditis is caused by calcification and fibrosis of the pericardium, which prevents the filling of the right heart. Signs of right heart failure include: JVD, Kussmal sign, a knock heard in diastole, ascites, edema and hepato-splenomegaly. A CXR shows calcification of the pericardium. The best initial test is a CXR. CT and MRI are more accurate. Echocardiogram is used to exclude other causes of right heart failure, the myocardium moves normally in constrictive pericarditis. It is treated with diuretics and surgery. Acute pericarditis Cardiac tamponade Cor pulmonale Hypertrophic cardiomyopathy Internal medicine Aarti Narayan MBBS, Raviteja Reddy Guddeti MBBS A 50-year-old man presents to the clinic with complaints of fatigue, shortness of breath on exertion and weight gain . He reports difficulty sleeping for the past 3 weeks because his shortness of breath worsens when he lies down. His past medical history is significant for non-Hodgkin lymphoma treated with chemoradiotherapy 6 years ago. His blood pressure is 110/60 mmHg, heart rate is 110/min, and temperature is 36.7 ᵒC (98 ᵒF). Physical examination is remarkable for abdominal swelling and lower extremity edema. Heart sounds are muffled and jugular venous pressure (JVP) is 6 cm above the sternal angle. Abdominal examination reveals hepatomegaly and minimal ascites. EKG shows low voltage QRS complexes and flattened T waves. What is the most likely diagnosis? A Oncology no-display 2020-10-27T23:04:55Z 2459150.4617477 WBR0021