Guptashutosh
Forum Elite
Topics: 35
Posts: 354
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32. A 62-year-old man is brought to the emergency department because of a 2-hour history of left anterior chest pain that began after he finished raking leaves. Initially, he thought that he had strained a chest muscle. Rest did not relieve the pain, and it began to radiate to his back. He has a 20-year history of hypertension treated with β-adrenergic blocking agents; he is not always compliant with his medication regimen. His temperature is 37°C (98.6°F), blood pressure is 175/100 mm Hg, pulse is 95/min and regular, and respirations are 18/min. The lungs are clear to auscultation. A grade 2/6 diastolic murmur is heard at the cardiac base when the patient leans forward. Radial pulses are stronger on the left than on the right. An ECG shows sinus tachycardia. Which of the following is the most likely diagnosis?
A ) Costochondritis
B ) Dissecting aortic aneurysm
C ) Gastroesophageal reflux disease
D ) Myocardial infarction
E ) Pericarditis
F ) Pulmonary embolism
G ) Stable angina pectoris
H ) Unstable angina pectoris
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| prathapdoctor
Forum Elite
Topics: 12
Posts: 406
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classical presentation of DISSECTING AORTIC ANEURYSM.
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| CocaCola
Forum Guru
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Posts: 908
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Yes... Dissecting aortic aneurysm
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| dr.wad
Forum Senior
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b) dissecting aortic aneurysm.
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| robin082006
Forum Hero
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B fore sure
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| anjushree
Forum Guru
Topics: 64
Posts: 386
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B
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