A 42-year-old Indian man presents with progressive dyspnea for 3 months. He has a past history of pulmonary tuberculosis. He has no other medical problems and is not on any medicat... A 42-year-old Indian man presents with progressive dyspnea for 3 months. He has a past history of pulmonary tuberculosis. He has no other medical problems and is not on any medications. His JVP was elevated and rises further on inspiration. Cardiac examination was normal with no murmurs. Blood pressure 105/60 mmH. Heart rate 120/min. Oxygen saturation 93%. Which of the following is the most likely diagnosis?
Understand the Problem
The question presents a clinical scenario with a patient showing symptoms of dyspnea and asks for the most likely diagnosis among the given options based on the clinical history and examination findings.
Answer
Constrictive Pericarditis.
The final answer is Constrictive Pericarditis.
Answer for screen readers
The final answer is Constrictive Pericarditis.
More Information
Constrictive pericarditis often manifests with symptoms like Kussmaul's sign due to the restriction of cardiac filling. It's a recognized complication of tuberculosis, which damages the pericardium, leading to thickening and fibrosis.
Tips
A common mistake is not recognizing Kussmaul's sign which directly points to diagnoses like constrictive pericarditis or restrictive cardiomyopathy.
AI-generated content may contain errors. Please verify critical information
