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* Which of the following is the most likely finding?
 #841886  
  vuyyuru - 06/19/17 03:58
 
  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 Na+140 mEq/L, K+ 4.5 mEq/L, Cl- 100 mEq/L
HCO3- 25 mEq/L

Urine WBC 0/hpf, RBC 4/hpf

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

A) Ejection fraction of 60%

B) Left ventricular wall thickening

C) Pericardial fluid

D) Septal dyskinesia

E) Thoracic aortic aneurysm
 
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