A 58-year-old man presents to the clinic with sudden weakness of his right arm. He also complains of progressive difficulty breathing on exertion, pal

Subject
Medicine
System
Cardiology & Vascular System

Joyce

Member
Aug 5, 2020
619
0
16
Singapore
Country flag
#june2020usmle2ck

A 58-year-old man presents to the clinic with sudden weakness of his right arm. He also complains of progressive difficulty breathing on exertion, palpitations and a low grade fever during the last month. Examination reveals elevated jugular venous pressure, a loud S1 and mid-diastolic rumbling murmur hard on fifth intercostal space. Transesophageal echocardiography (TEE) confirms the diagnosis.

What is the most likely diagnosis?


A-Atrial thrombus
B-Atrial myxoma
C-Left ventricular wall aneurysm
D-Vegetative valvular lesions