Decreased LV Filling after a Stroke! - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 05-15-2011
USMLE Forums Guru
 
Steps History: 1 + CS
Posts: 405
Threads: 55
Thanked 528 Times in 155 Posts
Reputation: 538
Heart Decreased LV Filling after a Stroke!

A 35 year old female is brought to the hospital following stroke. Evaluation shows intermittently decreased LV filling. Which of the following best describes her condition?

A) Atrial myxoma with systemic embolization

B) DIC

C) Pulmonary embolism with fragmentation

D) Triscuspid valve endocarditis
Reply With Quote Quick reply to this message
The above post was thanked by:
heights (05-16-2011), Mondoshawan (05-15-2011), Taiwan_Guy (05-15-2011)



  #2  
Old 05-15-2011
Banned
 
Steps History: 1 + CK
Posts: 751
Threads: 133
Thanked 308 Times in 192 Posts
Reputation: 318
Default

The answer would be atrial myxoma with systemic embolization.
Reply With Quote Quick reply to this message
The above post was thanked by:
donofitaly (05-15-2011)
  #3  
Old 05-15-2011
bebix's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,357
Threads: 194
Thanked 3,261 Times in 881 Posts
Reputation: 3271
Default

A) Atrial myxoma with systemic embolization
Reply With Quote Quick reply to this message
The above post was thanked by:
donofitaly (05-15-2011)
 
  #4  
Old 05-15-2011
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 88
Threads: 25
Thanked 17 Times in 10 Posts
Reputation: 27
Default

atrial myxomsa,bcz those r left sided.....ths is frm nbme 6,i guess....if im nt wrong ,there was anotheer option as welll that was confusing with atrial myxoma..
Reply With Quote Quick reply to this message
The above post was thanked by:
donofitaly (05-15-2011)
  #5  
Old 05-17-2011
heights's Avatar
USMLE Forums Master
 
Steps History: Not yet
Posts: 557
Threads: 69
Thanked 1,041 Times in 351 Posts
Reputation: 1061
Default

I understand why the best answer is atrial myxoma, but why would it not be pulmonary embolus?
Reply With Quote Quick reply to this message
  #6  
Old 05-17-2011
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 88
Threads: 25
Thanked 17 Times in 10 Posts
Reputation: 27
Default

pul embolus never goes to brain....it is caused mostly by dvt in lower limbs that lodges into lungs.......
Reply With Quote Quick reply to this message
  #7  
Old 05-17-2011
heights's Avatar
USMLE Forums Master
 
Steps History: Not yet
Posts: 557
Threads: 69
Thanked 1,041 Times in 351 Posts
Reputation: 1061
Default

Quote:
Originally Posted by sana akbar View Post
pul embolus never goes to brain....it is caused mostly by dvt in lower limbs that lodges into lungs.......
Thanks, that makes sense! I was totally over thinking it.
Reply With Quote Quick reply to this message
  #8  
Old 05-17-2011
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 88
Threads: 25
Thanked 17 Times in 10 Posts
Reputation: 27
Default

Quote:
Originally Posted by sana akbar View Post
atrial myxomsa,bcz those r left sided.....ths is frm nbme 6,i guess....if im nt wrong ,there was anotheer option as welll that was confusing with atrial myxoma..
to b precise , About 75% of myxomas occur in the left atrium of the heart, usually beginning in the wall that divides the two upper chambers of the heart. The rest are in the right atrium
Reply With Quote Quick reply to this message
  #9  
Old 05-17-2011
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 88
Threads: 25
Thanked 17 Times in 10 Posts
Reputation: 27
Default

another option was
cardiac rhabdomyosarcoma with brain mets....bt that isnt the answer...
Reply With Quote Quick reply to this message



Reply

Tags
Cardiovascular-, Pathology-, Step-1-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Filling Form 186 usmler2020 ECFMG Forum 3 05-14-2014 07:42 AM
Filling ECFMG Forms; Clerkships Question! aiakoby ECFMG Forum 5 04-04-2012 07:22 AM
Filling the online part again lookingup ECFMG Forum 1 04-26-2011 11:41 AM
Decreased Contractility and Stroke Volume in Acidosis? Cautie Pie USMLE Step 1 Forum 4 04-23-2011 08:20 PM
Right MCA Stroke aungawa USMLE Step 1 Forum 0 04-10-2010 04:06 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)