#1
Re: A 36-year-old male
84ahsan - 05-08-09 02:32 My answer is: a.
#2
Re: A 36-year-old male usmlefever3 - 05-08-09 02:41 My answer is: b.
#3
Re: A 36-year-old male bingousmle - 05-08-09 05:47 My answer is: b.
aortic dissection
#4
Re: A 36-year-old male angella - 05-29-09 22:26 My answer is: d.
#5
Re: A 36-year-old male shahprasun - 06-02-09 13:56 My answer is: a.
#6
Re: A 36-year-old male shujayat - 06-08-09 01:42 My answer is: a.
#7
Re: A 36-year-old male fas148 - 06-08-09 03:32 My answer is: e.
#8
Re: A 36-year-old male acameron - 06-08-09 09:01 My answer is: b.
#9
Re: A 36-year-old male omojesu - 06-12-09 01:50 My answer is: a.
dissecting aortic aneurysm
#10
Re: A 36-year-old male docraj - 06-13-09 19:06 My answer is: a.
#11
Re: A 36-year-old male Youngdoctor - 06-13-09 21:27 My answer is: a.
#12
Re: A 36-year-old male caraga - 06-14-09 09:41 My answer is: a.
#13
Re: A 36-year-old male crazyserb - 06-14-09 10:49 My answer is: a.
for aortic dissection the most accurate is to do TEEcho, then arteriography is the second best
#14
Re: A 36-year-old male petitbebe - 06-14-09 11:18 My answer is: a.
#15
Re: A 36-year-old male samer06 - 06-15-09 14:02 My answer is: a.
#16
Re: A 36-year-old male conym5 - 06-17-09 01:28 My answer is: b.
#17
Re: A 36-year-old male reksarma - 09-29-09 09:56 My answer is: b.
#18
Re: A 36-year-old male mtniharika - 09-29-09 13:38 My answer is: a.
#19
Re: A 36-year-old male ajitelaprolu - 09-30-09 12:54 My answer is: d.
#20
Re: A 36-year-old male amaniagz - 10-08-09 14:26 My answer is: a.
#21
Re: A 36-year-old male sarthak - 10-09-09 17:10 My answer is: a.
#23
Re: A 36-year-old male ysemak - 10-16-09 15:25 My answer is: b.
#24
Re: A 36-year-old male drayazmomin - 10-18-09 14:04 My answer is: b.
#25
Re: A 36-year-old male rocksfrow - 10-18-09 15:07 My answer is: b.
#26
Re: A 36-year-old male taralkparikh - 10-21-09 06:28 My answer is: a.
#27
Re: A 36-year-old male vernette - 11-06-09 16:46 My answer is: a.
#28
Re: A 36-year-old male dadukids - 12-07-09 03:45 My answer is: d.
#29
Re: A 36-year-old male tianjin - 12-09-09 05:15 My answer is: a.
#30
Re: A 36-year-old male drdhana - 12-09-09 08:21 My answer is: b.
#31
Re: A 36-year-old male souvikadhikari - 12-09-09 13:42 My answer is: b.
#32
Re: A 36-year-old male jordanrobin - 12-10-09 08:32 My answer is: c.
#33
Re: A 36-year-old male medicov9 - 12-11-09 08:29 My answer is: e.
#34
Re: A 36-year-old male eugenio - 12-12-09 08:05 My answer is: c.
#35
Re: A 36-year-old male hadeelaya - 12-12-09 12:59 My answer is: a.
#36
Re: A 36-year-old male nandi85 - 12-13-09 11:50 My answer is: a.
#37
Re: A 36-year-old male shwethinzar07 - 12-13-09 12:21 My answer is: a.
#38
Re: A 36-year-old male 2omzain2009 - 12-13-09 12:58 My answer is: a.
the most likely diagnosis is aortic dissection for which the gold standard diagnostic tool is TEE
#39
Re: A 36-year-old male zoah2005 - 12-13-09 13:11 My answer is: b.
#40
Re: A 36-year-old male medusmle01 - 12-16-09 01:23 My answer is: c.
#41
Re: A 36-year-old male demolition - 12-23-09 21:21 My answer is: b.
#42
Re: A 36-year-old male pat2005 - 01-09-10 13:31 My answer is: b.
#43
Re: A 36-year-old male oldman - 01-10-10 11:43 My answer is: a.
#44
Re: A 36-year-old male stanikzai - 01-11-10 04:46 My answer is: b.
#45
Re: A 36-year-old male ammulufy - 03-24-10 20:06 My answer is: b.
#46
Re: A 36-year-old male enas3110 - 03-25-10 10:27 My answer is: a.
#47
Re: A 36-year-old male dana44 - 03-25-10 11:43 My answer is: a.
#48
Re: A 36-year-old male therockbigfight - 04-29-10 10:16 My answer is: b.
#49
Re: A 36-year-old male babbu5508 - 05-21-10 15:08 My answer is: c.
the patient probably had a myocardial infarction with papillary muscle dysfunction leading to valvular abnormality and the murmur.......
#50
Re: A 36-year-old male samyou - 05-25-10 17:16 My answer is: a.
#51
Re: A 36-year-old male residencyrace - 05-29-10 11:43 My answer is: d.
#52
Re: A 36-year-old male zubiashoaib - 08-10-10 12:56 My answer is: a.
#53
Re: A 36-year-old male medical1212 - 08-20-10 00:57 My answer is: c.
#54
Re: A 36-year-old male dreves - 08-20-10 02:18 My answer is: a.
#55
Re: A 36-year-old male robin4u - 08-20-10 23:01 My answer is: b.
#56
Re: A 36-year-old male dryogi - 08-24-10 18:08 My answer is: e.
#57
Re: A 36-year-old male maverickmedico - 08-27-10 07:54 My answer is: b.
#58
Re: A 36-year-old male sweet12 - 08-27-10 10:32 My answer is: b.
#59
Re: A 36-year-old male zaurodhq - 08-28-10 07:32 My answer is: e.
#60
Re: A 36-year-old male vishalsheth - 08-28-10 09:55 My answer is: a.
#61
Re: A 36-year-old male annyshka - 08-28-10 11:48 My answer is: b.
Patients with Marfan's syndrom has connective tissue problems, the one of the most often complications of this disease is the dissection of the aorta. TEE will not allow to see the entire length of aorta, I would rather use CT but MRI will be good also.
#62
Re: A 36-year-old male tundoc - 08-28-10 13:22 My answer is: b.
#63
Re: A 36-year-old male tundoc - 08-28-10 13:26 Yaeh, i agree with you since it is of an acute onset, TEE would definitely be suggested instead of MRI
#64
Re: A 36-year-old male mythili - 09-05-10 01:37 My answer is: a.
#65
Re: A 36-year-old male tamjormd - 09-06-10 13:16 My answer is: c.
#66
Re: A 36-year-old male victoria12 - 09-07-10 11:23 My answer is: d.
#67
Re: A 36-year-old male mslubna1986 - 09-07-10 11:29 My answer is: a.
#68
Re: A 36-year-old male docind - 09-09-10 02:11 My answer is: a.
#69
Re: A 36-year-old male ibeji2 - 09-13-10 22:46 My answer is: a.
#70
Re: A 36-year-old male paperp - 10-19-10 17:08 My answer is: a.
coronary angio is gold standard, but TEE can be done at bedside
#71
Re: A 36-year-old male wanali - 11-26-10 15:08 My answer is: b.
#72
Re: A 36-year-old male sudha2015 - 12-28-10 11:16 My answer is: c.
#73
Re: A 36-year-old male doctors202 - 03-28-11 07:47 My answer is: a.
#74
Re: A 36-year-old male sudha2015 - 03-29-11 01:11 a. Transesophageal echocardiography
#75
Re: A 36-year-old male babbu5508 - 03-31-11 18:52 several structures can be evaluated and imaged better with the TEE, including the aorta, pulmonary artery, valves of the heart, both atria, atrial septum, left atrial appendage, and coronary arteries.
#76
Re: A 36-year-old male drmonia57 - 10-01-11 09:29 My answer is: a.
#77
Re: A 36-year-old male tariqahmed110 - 10-01-11 13:48 My answer is: a.
#78
Re: A 36-year-old male keepemalive - 10-04-11 20:28 My answer is: a.
"a" looks pretty good... (you need to know what's going on)... MRI is NOT a good answer in an emergency... "c" won't be of much help right now if you suspect an aortic dissection... "d" might be useful later if he ever has cardiac ischemia, but right now there's no time. And "e" is for pulm. embolisms and other alveolar difficulty, but right now you have to see what gave way in or near his heart. I'll stick with "a". Was I right?
#79
Re: A 36-year-old male alexis - 10-05-11 09:08 My answer is: b.
#80
Re: A 36-year-old male 99nick - 10-05-11 14:48 My answer is: a.
#81
Re: A 36-year-old male chowdhury84 - 12-22-11 21:40 My answer is: a.
#82
Re: A 36-year-old male shaiza - 04-02-12 15:07 My answer is: a.
