A 44-Year-Old Man Comes to the Office Due to Transient

question 394

Multiple Choice

A 44-year-old man comes to the office due to transient vision loss in his right eye.  He has experienced fatigue, warmth, and unintentional weight loss over the last 2 months.  HIV testing 4 weeks ago was negative.  Family history is unremarkable.
The patient's blood pressure is 122/70 mm Hg and pulse is 78/min.  A faint diastolic murmur is heard at the apex.
ECG shows T-wave inversion in the lateral leads.  Two sets of blood cultures are negative.
Which of the following is the most likely diagnosis in this patient?

• A)Ascending aortic aneurysm
• B)Carcinoid heart disease
• C)Cardiac myxoma
• D)Factor V Leiden heterozygosity
• E)Hypertrophic cardiomyopathy

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Definitions:

Develop

The process of growth or evolution through a gradual series of changes or stages.

Man In His 20s

A phrase typically used to describe a male individual within the age range of 20 to 29 years old.

Unhealthy Drinking Patterns

Drinking behaviors that exceed moderate levels and have the potential to lead to alcohol abuse or dependence, along with various health and social problems.

Negative Events

Unpleasant or harmful occurrences that can cause emotional distress, physical harm, or life challenges.