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March 2013 pulmonary case of the month: don't rein me in

Keywords: constrictive pericaditis , cardiac magnetic resonance imaging , heart failure , brain naturetic peptide , pleural effusion

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Abstract:

No abstract available. Article truncated at 150 words. History of Present Illness A 70 year old man was referre for a pleural effusion. The patient had pitting edema of the lower extremities noted in March, 2013. At that time a myocardial perfusion study and an echocardiogram were interpreted as being normal with an ejection fraction of 55%. His primary care physician stopped the amlodipine he was taking for hypertension and his edema resolved. However, the amlodipine was restarted a few weeks later for blood pressure control. PMH, SH, FH He has a past medical history of hypertension and asthma. He was diagnosed with prostrate cancer in mid 2012. At that time a CT scan of his abdomen/pelvis and a MRI of his pelvis were negative for metastatic disease. He underwent robot assisted radical prostatectomy and bilateral pelvic lymph node dissection in August 2012. His final diagnosis was Gleason 4+5 disease present throughout the prostate with focal extraprostatic extension …

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