Phys Clinical Cases · cardiovascular
Cardiac Tumours AND Systemic Manifestations OF Cardiac Disease — DCE Clinical Case
DCE long-case and short-case station for Cardiac Tumours AND Systemic Manifestations OF Cardiac Disease.
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Target exams
Cardiac Tumours AND Systemic Manifestations OF Cardiac Disease — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Cardiac Tumours AND Systemic Manifestations OF Cardiac Disease. [1]
Presenting complaint: Subacute or acute symptoms referable to Cardiac Tumours AND Systemic Manifestations OF Cardiac Disease, with enough detail to force prioritisation. [1] [2]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]
Examination: Key positives and critical negatives for dangerous differentials. [1]
Investigations: A small set of results that change management. [1] [2]
Tasks
- Present a prioritised problem list. [1]
- Defend investigations and immediate therapy. [1] [2]
- Provide safety-net and follow-up advice. [2]
Model discussion points
- Working diagnosis and acuity. [1]
- Differentials and discriminators. [2]
- Treatment sequence and monitoring. [1] [2] [3]
- Multimorbidity and communication. [2]
Short case
Focused examination or counselling station linked to Cardiac Tumours AND Systemic Manifestations OF Cardiac Disease, with one interpretation task and one shared-decision point. [1] [2]
References
- [1]Chen Z, Zheng M, Li Y, Zhang X, et al. Immune Checkpoint Inhibitor-Associated Cardiovascular Toxicity: Mechanisms, Clinical Manifestations, and Clinical Impact Cardiovasc Toxicol, 2026.PMID 42162235
- [2]Kebede LM, Woldeamanuel AM, Mehammed FM, Girma HG, et al. Unmasking multiple myeloma first presentation as pericardial effusion with tamponade physiology: a case report J Med Case Rep, 2026.PMID 41549254
- [3]Pálla S, Metyovinyi Z, Meznerics FA, Mirzahosseini A, et al. Dermatologic Features of Endocrine Tumor Syndromes-Systematic Review and Meta-Analysis Int J Dermatol, 2026.PMID 41165034
- [4]Wasserman JD, Schneider KW, Achatz MI, Nakano Y, et al. Updated Recommendations for Pediatric Surveillance in Hereditary Endocrine Neoplasia Syndromes: Multiple Endocrine Neoplasias, Hyperparathyroidism-Jaw Tumor Syndrome, and Carney Complex Clin Cancer Res, 2025.PMID 40560659
- [5]Schmitz KH, Prosnitz RG, Schwartz AL, Carver JR Prospective surveillance and management of cardiac toxicity and health in breast cancer survivors Cancer, 2012.PMID 22488701
- [6]Yoneda S, Koyama M, Matsubara T, Toyama S Electrocardiographic studies in acute pericarditis with specific reference to ventricular involvement of non-specific pericarditis Acta Cardiol, 1977.PMID 304653
- [7]Doan HN, Chang MC Comparative Effectiveness of Unstable Versus Stable Resistance Training on Lower Limb Strength, Mobility, and Fear of Falling in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials Am J Phys Med Rehabil, 2026.PMID 42468010
- [8]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005