A 23-year-old female presented with shortness of breath on exertion from last 10 days and she was breathless even after walking 50 yards. History: About 2 weeks ago she had a flu-like illness with generalized muscle aches and fever. She felt extremely tired and had noticed palpitations in association with her breathlessness. In addition, she had some discomfort in her anterior chest that was worse on inspiration. No significant past medical history. Examination On auscultation, there was a gallop rhythm, with a third heart sound.
Examination of her chest was unremarkable. Pressure over the sternum caused discomfort. Abdominal and neurological examinations were normal. Temperature - 37.5°C Pulse rate - 120/min and regular Blood pressure - 90/70 mmHg Jugular venous pressure - at 8 cm. *This image-based patient case is from Docplexus Editorial Team for educative purpose only. Source: Cases…