Q:

A 58 year old man suddenly becomes shocked several days after suffering an acute ant MI. His CXR shows a large globular-shaped heart and clear lung fields. What is the single most likelyexplanation for the abnormal investigation?

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A 58 year old man suddenly becomes shocked several days after suffering an acute ant MI. His CXR shows a large globular-shaped heart and clear lung fields. What is the single most likelyexplanation for the abnormal investigation?


  1. Acute pericarditis
  2. Cardiac tamponade
  3. Atrial thrombus
  4. Left ventricular aneurysm
  5. Dressler syndrome

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The key is B. Cardiac tamponade. [Shock in a post MI patient with globular heart on X-ray and clear lung field indicate Cardiac tamponade].

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