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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 336:1812-1819 June 19, 1997 Number 25
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Case 19-1997— A 57-Year-Old Man with a Bloody Pericardial Effusion
Ferdinand J. Venditti, and Michael R. Pins

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Presentation of Case

A 57-year-old man was admitted to the hospital because of progressive edema and exertional dyspnea.

The patient had been well until eight weeks earlier, when he was admitted to this hospital because of recurrent chest pain. An electrocardiogram showed a normal rhythm at a rate of 69, with poor R-wave progression in the right precordial leads, and elevated ST segments, with a tendency toward biphasic T waves, in leads V3 through V5. A radiograph of the chest revealed patchy air-space disease in the right lower lobe consistent with pneumonia; the cardiac silhouette was normal. The patient received alteplase intravenously. . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Ferdinand J. Venditti, Jr.'s Diagnosis

Pathological Discussion

Anatomical Diagnosis

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