A 41-year-old man has had increasing dyspnea for the past week. On physical examination, temperature is...

Transcribed Image Text:

A 41-year-old man has had increasing dyspnea for the past week. On physical examination, temperature is 37.3°C,pulse is 85/min, respirations are 20/min, and blood pressure is 150/95 mm Hg. There is dullness to percussion over the lung bases. A chest radiograph shows large bilateral pleural effusions and a normal heart size. Laboratory findings include serum creatinine, 3.1 mg/dL; urea nitrogen, 29 mg/dL; troponin I, 0.1 ng/mL; WBC count, 3760/mm³; hemoglobin, 11.7 g/dL; and positive ANA and anti-double-stranded DNA antibody test results. Which of the following cardiac lesions is most likely to be present in this patient? (A) Calcific aortic stenos is (B) Constrictive pericarditis (C) Ischemic cardiomyopathy (D) Libman-Sacks endocarditis (E) Rheumatic mitral valvulitis (F) Rhabdom A 41-year-old man has had increasing dyspnea for the past week. On physical examination, temperature is 37.3°C,pulse is 85/min, respirations are 20/min, and blood pressure is 150/95 mm Hg. There is dullness to percussion over the lung bases. A chest radiograph shows large bilateral pleural effusions and a normal heart size. Laboratory findings include serum creatinine, 3.1 mg/dL; urea nitrogen, 29 mg/dL; troponin I, 0.1 ng/mL; WBC count, 3760/mm³; hemoglobin, 11.7 g/dL; and positive ANA and anti-double-stranded DNA antibody test results. Which of the following cardiac lesions is most likely to be present in this patient? (A) Calcific aortic stenos is (B) Constrictive pericarditis (C) Ischemic cardiomyopathy (D) Libman-Sacks endocarditis (E) Rheumatic mitral valvulitis (F) Rhabdom

Answer rating: 100% (QA)

The detailed ... View the full answer