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Juicy Fat Steak and Vegetable Buffet concept! 80-year-old man presents with decreasing tolerance to strenuous sexual activity. His wife said that 1 year ago, he could make love 4 times a night, but now becomes tired. He has had progressive dyspnea on exertion and becomes “short-winded”. He has also been awaking from sleep with shortness of breath and requires three pillows to sleep comfortably. He has a history of rheumatic fever as a teenager. His BP is 190/110. He is afebrile. He has jugulovenous distention lying supine. He has bibasilar rales. He has a regular S1 and S2, with a blowing diastolic murmur heard at the aortic area, which is grade II/IV. An S3 is audible. The liver edge is mildly tender, and there is moderate lower extremity edema extending to both knees. What is the pathology. What medication do you give that will address the direct pathology?;) Pathology 1-Aortic stenosis 2-Aortic regurg 3-Aortic insufficiency 4-Mitral stenosis 5-Mitral regurg 6-Pulmonary stenosis 7-Tricupsid regurg Medication 1-Thiazide diuretic 2-Heparin 3-Coumadin 4-Digoxin 5-ACE inhibitor

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Subject: Tommy's Concepts

Question

Juicy Fat Steak and Vegetable Buffet concept!
80-year-old man presents with decreasing tolerance to strenuous sexual activity. His wife said that 1 year ago, he could make love 4 times a night, but now becomes tired. He has had progressive dyspnea on exertion and becomes “short-winded”. He has also been awaking from sleep with shortness of breath and requires three pillows to sleep comfortably. He has a history of rheumatic fever as a teenager. His BP is 190/110. He is afebrile. He has jugulovenous distention lying supine. He has bibasilar rales. He has a regular S1 and S2, with a blowing diastolic murmur heard at the aortic area, which is grade II/IV. An S3 is audible. The liver edge is mildly tender, and there is moderate lower extremity edema extending to both knees. What is the pathology. What medication do you give that will address the direct pathology?
Pathology
1-Aortic stenosis
2-Aortic regurg
3-Aortic insufficiency
4-Mitral stenosis
5-Mitral regurg
6-Pulmonary stenosis
7-Tricupsid regurg
Medication
1-Thiazide diuretic
2-Heparin
3-Coumadin
4-Digoxin
5-ACE inhibitor

Answer

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