Pathophysiology Discussion # 7
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A patient who is 4 days post–coronary artery bypass surgery reports she is having new chest pain that is “different from my angina pain.” The pain’s onset was 5 or 6 hours ago upon first waking up in the morning. The patient has a new pericardial friction rub and a low-grade fever of 100.5°F. The patient is diagnosed with acute pericarditis.
a. ; ; ; ; ; ; ; ; ; ; ; Why was this patient at risk for developing pericarditis?
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b. ; ; ; ; ; ; ; ; ; ; ; Why is this patient now at risk for cardiac tamponade?
c. ; ; ; ; ; ; ; ; ; ; ; ; What are the signs or symptoms that would be indicative of cardiac tamponade in this patient? What is the underlying pathophysiology of these signs and symptoms?