A 42-year-old man presented to the hospital complaining of shortness of breath, fever, and fatigue. Examination showed he has high JVP, pulsus paradoxus, and distant heart sounds.... A 42-year-old man presented to the hospital complaining of shortness of breath, fever, and fatigue. Examination showed he has high JVP, pulsus paradoxus, and distant heart sounds. Lung auscultation was clear. ECG: Low voltage. Chest X-ray: An increase in cardiac silhouette. Which area of the heart is most likely involved? A. Valves B. Pericardium C. Myocardium D. Coronary arteries
Understand the Problem
The question describes a clinical scenario involving a 42-year-old man with specific symptoms and examination findings. It asks which area of the heart is likely involved based on the given information.
Answer
B. Pericardium
The final answer is B. Pericardium
Answer for screen readers
The final answer is B. Pericardium
More Information
The symptoms described: high JVP, pulsus paradoxus, distant heart sounds, low voltage ECG, and increased cardiac silhouette on X-ray suggest pericardial involvement, commonly associated with cardiac tamponade or pericarditis.
Tips
A common mistake is not recognizing the signs of pericardial effusion or tamponade. Remember to associate low voltage ECG with pericardial issues.
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