Cardiology>>>>>Heart Failure
Question 68#

During physical examination, you notice an elevated systemic venous pressure with sharp y-descent Kussmaul sign and quiet pericardium. What might the patient have?

A. Constrictive pericarditis
B. Restrictive myocardial disorder
C. Tricuspid regurgitation
D. Pulmonary HTN
E. Tamponade

Correct Answer is A

Comment:

Constrictive pericarditis. The high initial venous wave (a wave) is characteristic of atrial contraction. The rapid y descent is suggestive of rapid ventricular filling.