Last updated on: August 18th, 2022

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You’re looking at a multiple-choice question from QBank Prepper (the newest of four distinct learning formats available in Clinical Odyssey). Try it out, and have fun improving your clinical skills.

Diseases of the pericardium 3

A 68-year-old man comes to the emergency room with a 3-hour history of chest pain and difficulty breathing. The pain is worse with inspiration. He has a 20-year history of poorly controlled type 2 diabetes, hypertension, and a 3-year history of progressively worsening chronic kidney disease (CKD). His pulse is 80/min, blood pressure is 140/90 mm Hg, and respiratory rate is 16/min. Pulsus paradoxus is absent. A pericardial friction rub is present.

Further evaluation is most likely to reveal which of the following?

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