BMJ 2010; 340 doi: https://doi.org/10.1136/bmj.b5579 (Published 05 January 2010) Cite this as: BMJ 2010;340:b5579
  1. Gregory W Ruhnke, instructor of medicine1,
  2. Yoshimoto Serizawa, internal medicine residency training program2
  1. 1Section of Hospital Medicine, Department of Internal Medicine, University of Chicago, Chicago, IL 60637, United States
  2. 2Teine Keijinkai Hospital, Teine-ku, Maeda 1-12-1-40, Sapporo 006-8555, Japan
  1. gruhnke{at}medicine.bsd.uchicago.edu

    This woman presented with chest pain, hypotension, diffuse ST elevations on electrocardiogram, and diminished heart sounds due to pericardial effusion, after a …

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