Question AQ 007 |
A 49 year old white male with a history of ethanol abuse,
bronchial asthma and hypertension presents to the ED
with a six hour complaint of severe chest pain. He became
markedly dyspnic two hours prior to his presentation. |
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S1 is muffled. There is a grade 2/6 systolic ejection murmur at the LUSB together with a very brief grade 2/6 early diastolic decrescendo murmur. An S4 gallop is present at the apex together with a soft, intermittent S3. The lungs are relatively clear, except for occasional scattered rhonchi. The abdomen is unremarkable and there is no pitting edema of the legs. |
Which ONE of the following is the most likely diagnosis? |
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