Update README.md

README.md

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-    Paradoxical pulse is a drop in blood pressure > 10 mmHg during inspiration;
+- text: A patient with a history of febrile illness and chest pain comes to the hospital with dyspnea and tachypnea. 
+        On physical examination his blood pressure is low, jugular venous pressure is elevated with a deep descending sinus "X" and he has a paradoxical pulse. 
+        What pathology should you suspect?
+  context: Paradoxical pulse is a drop in blood pressure > 10 mmHg during inspiration;
     it represents an exaggeration of the physiological phenomenon consisting of
     inspiratory lowering of BP (normal up to 10 mmHg). In cardiac tamponade,
     inspiration, which causes an increase in blood flow to the right chambers,