A 38-year-old healthy man comes to the emergency department for the onset of a stroke. The patient reports that he had several weeks of malaise and feeling feverish. There has been some dyspnea as well. He has also lost 10 pounds over the last several weeks. He has no previous cardiac history. On physical examination, his temperature is 37.9 C (100.2 F), blood pressure is 90/60 mm Hg, and the pulse rate is 100/min and regular. Apart from the neurologic deficits, the rest of physical examination is remarkable for a diastolic murmur, which changes markedly with bodily position. The erythrocyte sedimentation rate (ESR) is 67 mm/min. What is the most likely diagnosis?
(A) Aortic stenosis (B) Infective endocarditis with ruptured valve (C) Left atrial myxoma (D) Rheumatic fever (E) Left ventricular mural thrombus
___________________ "Obstacles are those frightful things you see when you take your EYES off your goal."
ling Forum Senior
Topics: 23 Posts: 46
01/20/07 - 11:45 AM
#2
c?
prathapdoctor Forum Elite
Topics: 12 Posts: 406
01/20/07 - 12:06 PM
#3
left ventricular mural thrombus, do we see raised ESR with myxoma.
drashishmahajan Forum Senior
Topics: 6 Posts: 92
01/20/07 - 12:33 PM
#4
C...change wid position....diastolic murmur... low BP... sm dysnea ... all goes wid it
Guptashutosh Forum Elite
Topics: 35 Posts: 354
01/20/07 - 01:03 PM
#5
C lt atreial Myxoma (this can give diastolic mumer like mitral stenosis, xept for the presystolic exacerbation)] ESR is elevted
dr.wad Forum Senior
Topics: 3 Posts: 350
01/20/07 - 01:32 PM
#6
c) left atrial myxoma
prathapdoctor Forum Elite
Topics: 12 Posts: 406
01/20/07 - 01:33 PM
#7
prathapdoctor wrote: sorry its atrial myxoma,i thought the other option as lt atrial mural thrombus ,what will be the diagnosis if among options - lt atrial mural thrombus is also there.
Aashi Forum Moderator
Topics: 113 Posts: 1,060
01/20/07 - 02:50 PM
#8
'C' ___________________ "Obstacles are those frightful things you see when you take your EYES off your goal."
