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56 year old male with exertional dys pnea and marked ascites
Constrictive Pericarditis

  • Causes: Idiopathic, viral, TB, traumatic, uremia, neoplasm
  • Fibrous thickening of the pericardium thickening> 2mm on CT
  • 50% present with calcification
Curvilinear calcification surrounding the heart
Diminished contractility and pericardial effusion

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Extensive thick pericardial calcification, more characteristic of TB
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These signals are relayed buying clomid online safe which then is by a number of such as medial preoptic and paraventricular nulcei.