Which of the following is a symptom of malignant pericardial effusion?

• A. Rash
• B. Hair Loss
• C. Chest Pain
• D. Fracture

Answer: (C)

Malignant pericardial effusion causes chest pain because the fluid buildup and any tumor involvement irritate and stretch the pericardial sac around the heart, producing discomfort or pressure sensations in the chest as the heart struggles to function. This symptom reflects the heart’s response to the extra pressure and irritation in the pericardial space, and it can be worsened by breathing or body movement.

The other options don’t fit this condition well. Rash isn’t a direct sign of pericardial effusion (though it could appear from unrelated skin conditions or treatment side effects). Hair loss is more likely from chemotherapy effects rather than the effusion itself. Fracture is unrelated to pericardial issues.