Congestive Cardiac Failure, Echo
Pericardial Effusion, Echo
Drug Induced Cardiomyopathy, Echo
Massive Tubercular Effusion, Ct Chest
Ans. B. Pericardial Effusion, Echo
Muffled heart sounds, hypotension, and elevated JVP is the classic Becks triad of pericardial effusion. In this clinical vignette, the probable cause for that would be tubercular dissemination to pericardium causing heart failure manifestations. This could happen with ATT non-compliance or an MDR TB. Echocardiography is the next best investigation to confirm this clinical scenario as the cardiomegaly on a chest radiograph is not very specific. This large cardiac window on the chest radiograph is referred to as a money bottle heart seen in massive pericardial effusion.