Chest pain

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Chest pain

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7 Posts

jean robert
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12/22/07 - 06:06 PM

A 50 y.o. XY develops the sudden onset of excruciating pain in the chest and back. PE reveals diminished radial pulses bilaterally and normal femoral pulses. Chest xray shows widened mediastinum. Which of the following underlying conditions is most likely to be the cause of this patient acute problem?

a.-History of DM

b.-Myxoid change and fragmentation of elastic lamellae in aortic media

c.-Severe atherosclerosis of proximal aorta

d.-Past history of treponema infection

e.-Congenital cardiac malformation

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acintya
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12/22/07 - 08:20 PM

B--> proximal aortic dissection--cystic medial degeneration--> widening of aortic valve root, pressure on subclavian artery, absent upper extremity pulse.

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Elan

12/22/07 - 08:22 PM

new_n_lost
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12/23/07 - 04:37 AM

acintya wrote:
B--> proximal aortic dissection--cystic medial degeneration--> widening of aortic valve root, pressure on subclavian artery, absent upper extremity pulse.

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arlete
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12/23/07 - 08:48 AM

I think it's D...

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jean robert
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12/24/07 - 05:13 PM

acintya wrote:
B--> proximal aortic dissection--cystic medial degeneration--> widening of aortic valve root, pressure on subclavian artery, absent upper extremity pulse.

well done

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angel23
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12/24/07 - 05:47 PM

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