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A 68-year-old woman has survived multiple episodes of pulmonary thromboembolism during the past three months. Which of the following is the most likely underlying condition leading to this patient's recurrent pulmonary thromboembolism?
A Micronodular cirrhosis of the liver
B Adenocarcinoma of the pancreas
C Thrombocytopenia
D Familial hypercholesterolemia
E Mitral valve endocarditis
F Type II diabetes mellitus
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...................I THINK E
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syed....................but mitral valve endocarditis should cause sysytemic thromboembolism, like to th brain, and not pulmonary thromboembolism,or what do you think.
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Your are right.silly me
the ans .......B ...(hyper coagulable state)
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(B) CORRECT. The recurrent episodes suggest a hypercoagulable state, and carcinomas can do this (Trousseau syndrome.
(F) Incorrect. Diabetes mellitus increases the risk for atherosclerosis, but atherosclerosis does not involve veins.
E) Incorrect. An endocarditis could lead to to embolization, but into the systemic circulation from the mitral valve.
