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nadiabarati

06/25/06 - 07:16 PM             #1

55 yr old man with long h/o HTN suddenly develops severe retrostrenal chest pain that radiates to upper back b/w the scapulae on exam he has diaphoresis and severe shortness of breath pulse 12/min,BP 130/60 in left arm and 80/50 in right arm. diffuse wet inspiratory cracles in both lung fields distant heart sounds and a previously undetected 2/6 blowing early diastolic murmur in rt 2nd and 3rd IC space adj to sternum.diagnosis?
A dissectiong aortic anneursym
B MI
C pericarditis and tamponade
D pulmonary embolism
E rupture chordae tendinae
F ventricular septum rupture


A?





robin082006
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06/25/06 - 07:21 PM             #2

A


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Cedrick
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06/25/06 - 07:31 PM             #3

Is sounds like dissecting aortic aneurysm

A

sridevibandaru24
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06/25/06 - 11:43 PM             #4

A

m2298
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06/29/06 - 12:47 PM             #5

A

leen
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06/29/06 - 03:23 PM             #6

A...

fongch
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10/24/06 - 12:53 PM             #7

I seems to remember prolactin can antagonize the function of LH - therefore LH could be elevated. Not sure though.

ManuNastai

10/24/06 - 11:26 PM             #8

A

@fongch: huh?!raised eyebrowconfused







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