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* 11
 #140658  
  angioplasty - 11/22/06 17:14
 
  A 67-year-old man with a history of poorly controlled hypertension is admitted to the hospital because of increasing fatigue, weight loss and dyspnea on exertion for the past 6 weeks. Medical history includes tonsillectomy, adenoidectomy, mitral valve commissurotomy and a sigmoid colon resection for diverticulitis. Vital signs are: pulse 90/min, respirations 14/min and blood pressure 190/100 mm Hg. The patient appears chronically ill but is in no acute distress. Laboratory studies show:


Serum


Urine


Na+

140 mEq/L

WBC

0/hpf

K+

4.5 mEq/L

RBC

4/hpfHCO3-

25 mEq/L




Which of the following is the most likely finding on echocardiography?

A

) Ejection fraction of 60%

B

) Left ventricular wall thickening

C

) Pericardial fluid
) Septal dyskinesia

E

) Thoracic aortic aneurysm

D



Cl-

100 mEq/L
 
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* Re:11
#568394
  knock_knock - 11/22/06 17:34
 
  B
 
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* Re:11
#568413
  pk007 - 11/22/06 17:47
 
  b. diastolic heart failure.....  
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* Re:11
#568527
  ekammaoffiong - 11/22/06 20:22
 
  eka

B
 
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