me007
Forum Guru
Topics: 72
Posts: 803
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50 y.o. man
jugular veins distention, enlarged tender liver, pitting edema, pleural effusion - clear fluid, few cells
The most likely cause of this:
1. tricuspid stenosis
2. pulm valve stenosis
3. COPD
4. prim pulmonary hypertension
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| RayBerg
Forum Senior
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What's so funny about this?
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| silver
Forum Guru
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Posts: 771
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4. prim pulmonary hypertension
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| me007
Forum Guru
Topics: 72
Posts: 803
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RayBerg wrote:What's so funny about this?
try to pick 1 (one) ans
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| doc179
Forum Guru
Topics: 67
Posts: 1,217
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well..may be its 4.primary pulm hypertension, but thats common in females though. Anyway I pick this by exclusion. If thats not the answer then I just have one thing to say that the qn is incomplete. cos if it was COPD then I guess there would have been something mentioned about his past or social history and the other valvular diseases again something more about the physical would have helped, like a murmur.
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| new_n_lost
Politically InCorrect
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1. tricuspid stenosis ???
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| me007
Forum Guru
Topics: 72
Posts: 803
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ok guys, key word MC
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| new_n_lost
Politically InCorrect
Topics: 650
Posts: 6,058
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me007 wrote:
50 y.o. man
jugular veins distention, enlarged tender liver, pitting edema, pleural effusion - clear fluid, few cells
The most likely cause of this:
1. tricuspid stenosis
2. pulm valve stenosis
3. COPD
4. prim pulmonary hypertension
MC here is COPD
Wht is the MCC of this Presentation ???
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| me007
Forum Guru
Topics: 72
Posts: 803
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the q is from Robbins review
and the ans is COPD
q 34 chapter "the heart" p 115
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| peraspera
Forum Elite
Topics: 38
Posts: 233
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can you please give an explanation ?
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| me007
Forum Guru
Topics: 72
Posts: 803
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findings point on pure RHF.
can be caused by tricuspid or pulmonic stenosis, but these are rare.
MC is pulm hypertension is from obstructive lung diisease.
prim pulm htn is much less common.
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| Luckyall
Forum Guru
Topics: 11
Posts: 592
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the MCC is COPD.. i missed the whole show 
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| RayBerg
Forum Senior
Topics: 32
Posts: 150
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me007 wrote:
try to pick 1 (one) ans
Sorry, I'd done this q before so I didn't get the humor.
COPD!
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| epica
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To me007
Shortened Q from the book became funny.
( you missed important points)
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| epica
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Agree w RayBerg
I also did this Q before, clear ans, COPD
I didn't get the humor.
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| doc179
Forum Guru
Topics: 67
Posts: 1,217
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so whats the complete qn like epica?
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| faraym
Forum Addict
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doc179 wrote:
so whats the complete qn like epica?
Atleast smoking history
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| doc179
Forum Guru
Topics: 67
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found the qn, it does not have a smoking history but has CXR findings though. flattened diaphragm in CXR most significant of emphysema which would definitely point towards COPD.
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| faraym
Forum Addict
Topics: 23
Posts: 800
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epica wrote:
Agree w RayBerg
I also did this Q before, clear ans, COPD
I didn't get the humor.
I was wondering if ,The joke is " how did he get COPD " ?
the title FUNNY made me have a look at this post 
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| yoga
usmlelogy professor
Topics: 73
Posts: 635
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me007 wrote:
the q is from Robbins review
and the ans is COPD
q 34 chapter "the heart" p 115
 i thought pulmonary hypertension
can u plz type explanation
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| efti
Forum Newbie
Topics: 0
Posts: 10
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Hey.
Primary pulmonary hypertension is a rare disorder.
From all the above COPD would be the MCC. The explanation?
It's 'Cor pulmonale' - poor ventylation causes constriction of pulmonary blood vessels (wasted perfusion) which elevates the afterload for the right ventricle (puts more stress on the RV) and leads to RHF.
Now let's say that this pt is the heroin abuser - what's the answer now?
Have fun 
Aloha
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