Its presence could lead to Dx of R. heart failure, cardiac tamponade, and constrictive pericarditis. Since JVD is present and no Kussmaul's sign...does Kussmaul's have to be present for A,B and C?

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I used to pray and pray for a bike and never got one. Later I learned that God doesn't work that way... so I went out and stole a bike and asked God for forgiveness.