Palpable Pulsus Paradoxus in Primary Care Clinic

A 52-year-old man with recently diagnosed metastatic carcinoma of unknown primary site presented to primary care clinic for evaluation of lightheadedness. Two days prior, the patient presented to the emergency department (ED) after an episode of near syncope while standing. Initially hypotensive, he received a one-liter bolus of normal saline, his blood pressure improved, and he no longer felt lightheaded. His symptoms were presumed to be secondary to poor oral intake, and he was discharged home.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Clinical communication to the editor Source Type: research