Q:

A 65 year old man presents with dyspnea 3 day after an MI. On auscultation he has a pansystolic murmur at the apex radiating to the axilla. What is the most likely diagnosis?

waelhammad
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2022-10-29
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A 65 year old man presents with dyspnea 3 day after an MI. On auscultation he has a pansystolic murmur at the apex radiating to the axilla. What is the most likely diagnosis?

  1. Ruptured papillary muscle
  2. Ventricular aneurysm
  3. Pericarditis
  4. Pericardial effusion
  5. VSD
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waelhammad
2022-10-29
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The key is A. Ruptured papillary muscle. [Pansystolic murmur in apex radiating to axilla may be due to mitral regurgitation secondary to papillary muscle rupture].

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