title: A massive occult pericardial effusion in an athletic young male.
abstract: We present a case of a 27-year-old Royal Marine with a massive pericardial effusion, presenting with minimal clinical findings, suggesting that high levels of physical fitness may effectively mask the normal symptoms of this potentially life-threatening condition.
authors.affiliation: Medical Officer, 40 Commando Royal Marines, Taunton, UK.
authors.forename: Matthew H
authors.initials: MH
authors.lastname: Thompson
authors.forename: G D
authors.initials: GD
authors.lastname: Corbett
authors.forename: A
authors.initials: A
authors.lastname: Cherian
authors.forename: E D
authors.initials: ED
authors.lastname: Nicol
mesh_terms: D000328:Adult; D000897:Anti-Ulcer Agents / Q000627:therapeutic use; D002637:Chest Pain / Q000209:etiology; D003078:Colchicine / Q000627:therapeutic use; D057210:Delayed Diagnosis; D005938:Glucocorticoids / Q000627:therapeutic use; D006074:Gout Suppressants / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008889:Military Personnel; D009853:Omeprazole / Q000627:therapeutic use; D010490:Pericardial Effusion / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D010493:Pericarditis / Q000821:virology; D010809:Physical Fitness; D011239:Prednisolone / Q000627:therapeutic use
chemical_list: D000897:Anti-Ulcer Agents; D005938:Glucocorticoids; D006074:Gout Suppressants; D011239:Prednisolone; D009853:Omeprazole; D003078:Colchicine
keywords: Sports Medicine