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NBME 21 Answers
A 28-year-old man is brought to the emergency ...
there is another clue, the man has diminished pulses in just one arm, which means that the left subclavian artery must be involved somehow, and an aortic dissection would be the best answer explaining this.
please why is there where a diastolic mumur?
@temmy Aortic dissection especially near the root of aorta can lead to dilatation of the aortic valves, which can lead to Aortic regurgitation (diastoic murmur at left sternal border)
Does anyone know why is this patient's tepmerature elevated?
@garibay92, not important for this question I think but cocaine can cause malignant hyperthermia