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Medicine CVS 750794f1

A 70-year-old man with hypeension wakes up with severe chest pain and diaphoresis. On examination he has bounding pulses with wide pulse pressure. A diastolic murmur is heard along the right sternal border. Which of the following is the possible etiology?

A
Aoic dissection
B
STEMI with papillary muscle dysfunction
C
Myocarditis with functional regurgitation
D
Flash pulmonary edema
High-Yield Explanation
Option A= High B.P | Aoic dissection | Leads to Retrograde spread | develop Aoic Root dilation | Leads to develop Aoic Regurgitation- Diastolic Murmur Option B= STEMI with Papillary muscle dysfunction have systolic murmur. Option C= Myocarditis with functional regurgitation- Systolic murmur Option D= Flash Pulmonary edema related to Renal aery stenosis/Reno vascular hypeension

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