A 49-year-old male patient presents to A&E with chest discomfort and shortness of breath
A 49-year-old male patient presents to A&E with chest discomfort and shortness of breath over the past hour. He has a medical history of HIV. Hypotension, muffled heart sounds and distended jugular veins are found on examination. His pulsus paradoxus is 20mmHg.
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