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14854 Medicine

A 34-year-old man presents with dyspnea and increasing peripheral edema. He recently had a “flu-like” illness with intermittent sharp left-sided chest pain. On examination, his jugular venous pressure (JVP) is elevated at 8 cm, heart sounds are soft, and the blood pressure (BP) is 104/76 mm Hg with a 20 mm Hg decrease in systolic arterial pressure during slow inspiration. Which of the following is the most likely diagnosis?

Acardiac tamponade
Bpulmonary hypertension
Cventricular septal defect
Dcoarctation of the aorta
Medicine
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