A 52-year-old man with recently diagnosed metastatic carcinoma of unknown primary
site presented to a primary care clinic for evaluation of lightheadedness. Two days
prior, the patient presented to the Emergency Department after an episode of near
syncope while standing. Initially hypotensive, he received a 1-L bolus of normal saline,
his blood pressure improved, and he no longer felt lightheaded. His symptoms were
presumed to be secondary to poor oral intake, and he was discharged home. The lightheadedness
returned 24 hours later, and he came to his primary care office 2 days later for evaluation.
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References
- Does this patient with a pericardial effusion have cardiac tamponade?.JAMA. 2007; 297: 1810-1818
- Automated office blood pressure.Can J Cardiol. 2012; 28: 341-346
- Disorders of the pericardium.Evidence-Based Physical Diagnosis. 4th ed. Elsevier, Philadelphia2018: 405-410
- Taponamiento cardíaco: sospecha diagnóstica en atención primaria [Cardiac tamponade: suspected diagnosis in primary care].Aten Primaria. 2000; 26 ([in Spanish]): 348-349
- Cardiac tamponade in medical patients.Circulation. 1981; 64: 633-640
Article Info
Publication History
Published online: January 11, 2021
Footnotes
Funding: None.
Conflict of Interest: None.
Authorship: This manuscript's authors were entirely responsible for writing this manuscript. Both authors have approved this manuscript for submission, had access to the data, and meet criteria for authorship.
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
