Medicine

Last updated on: July 26th, 2020

Pericardial Disease I

A 54-year-old woman with end-stage renal disease comes to the physician with fatigue and shortness of breath on exertion for three days. She missed her routine hemodialysis sessions; the last was two weeks ago. Her pulse is 98/min, blood pressure is 140/70 mmHg, and respirations are 16/min. The lungs are clear to auscultation. Heart sounds are muffled. An ECG shows low voltage QRS complexes in all leads. An x-ray of the chest reveals cardiomegaly. Which of the following is the most appropriate next step in management?

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