to snoo-finity ... and beyond!
Welcome to nukie404's page.
Contributor score: 6
Literally had it on OI until I saw no family hx... Isn't it AUTOSOMAL DOMINANT?
I wonder though, is it not possible for irradiated food to change in their protein structure, possibly somehow affect us? Some suggest Regardless I guess since it as irradiate with gamma radiation, there's no chance of the radiation staying in the food. In that sense I guess the answer makes sense but...
Why can it not be arterial hypertension?
I think Arterial HTN is referring to Pulmonary Artery HTN which would be present in LT HF in the long run with RT HF and edema. Pulm HTN would cause a backflow, and doesn't really answer the question "explain the patients Dyspnea". At least, that's how I saw it. Hope this helped.
the question has 2 murmurs, so does she have aortic stenosis too?
i guess it is not relevant since it asked for what is causing her SOB
I guess pulmonary HTN would happen in response to increased pressure after the edema happens, and would cause backflow (to the RV) over pulmonary edema.
There's a really great diagram in UWorld (QID 234) that explains what happens as a result of mitral stenosis. Very similar sounding to the patient in this question.
The image shows a staghorn calculi which content is usually magnesium ammonium phosphate (can also be cystine but pH would be decreased not increased) and is caused by urease positive bugs that hydrolyze urea to ammonia leading to urine alkalinization (page 586 of FA 2019)
Patient also has a fever, suggestive of a UTI