ques - hhh

[ArchivalUser]

59 year old woman comes to the ER becoz of shortness of breath for 2 days. She had stage 2 breast cancer 5 years ago teated with lumpectomy, radiatioon and chemotherapy. Her temp is 37.5(99.5), BP is 90/60 and resp 24. Examination shows increased JVP. Heart sounds are distinct. which of the following is the most likely next step in magmt?
Antibiotic therapy
Anticoagulant therapy
IV Digoxin
IV Furesomide
Chemotherapy
Radiation
Pericardiocentesis

[ArchivalUser]

vague question...what she needs is a chext x ray or chest ct
but i will go with pericardiocentesis

[ArchivalUser]

pericardiocenthasis

[ArchivalUser]

Vague options
EKG is always the first step in cases like this, the medical Hx notwithstanding.

[ArchivalUser]

it's pericardiocentesis