Jugular Venous Distension, Tachycardia, and Borderline Hypotension A 48-year-old man complains of shortness of breath and fatigue. He has jugular venous distension, tachycardia (heart rate of 108 to 124 beats…
Preparation for Kidney Donation A 48-year-old healthy man is referred for a stress echocardiogram in preparation for kidney donation. A mass is noted in the right atrium moving between the…
Atrial Fibrillation, Dyspnea with Heavy Exertion The patient is a 47-year-old man with a history of atrial fibrillation. Eleven months prior to the transthoracic echocardiogram, he underwent a prolonged atrial…
Transient Ischemic Attack A 44-year-old woman suffered from a transient ischemic attack 2 years ago. An echocardiogram revealed a patent foramen ovale (PFO) in association with an atrial septal aneurysm….
Atrial Fibrillation and Shortness of Breath A 42-year-old woman had her first episode of atrial fibrillation 3 years ago. Over the last year, she developed symptoms of fatigue and shortness…
Worsening Dyspnea on Exertion and Reduced Exercise Capacity A 44-year-old woman presents with a 6-month history of worsening dyspnea on exertion. She has reduced exercise capacity and has to stop…
Marfan Syndrome with Sharp Chest Pain The patient is a 43-year-old woman with a history of Marfan syndrome. She had a Bentall procedure 10 years ago with a composite Dacron…
Weight Loss and Low-Grade Fevers A 41-year-old man was admitted to the hospital with a 1-month history of fatigue, shortness of breath, weight loss, and low-grade fevers. On physical examination,…
Syncopal Event with a Bruised Sternum A 41-year-old African American man presents after a syncopal event that occurred while driving a car. The patient was involved in a head-on collision…
Acute Shortness of Breath following Surgery due to a Motor Vehicle Accident A 40-year-old man had orthopedic surgery following a motor vehicle accident. He subsequently developed acute shortness of breath….
