83.45歲男性胰臟腺癌末期患者,數度發生下肢短暫性靜脈血栓(evanescent
phlebothrombosis),病人如同時發生腦梗塞,其最可能的心臟併發症為何?
(A)非細菌性血栓性心內膜炎(non-bacterial thrombotic endocarditis)
(B)Libman-Sacks氏心內膜炎(Libman-Sacks endocarditis)
(C)急性感染性心內膜炎(acute infective endocarditis)
(D)急性心肌梗塞(acute myocardial infarction)
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統計: A(143), B(38), C(17), D(74), E(0) #1154469
統計: A(143), B(38), C(17), D(74), E(0) #1154469
詳解 (共 2 筆)
#2892469
Vegetations all over surface of the valve and pt has a “+” serum ANA – dx? Libman sacs endocarditis – pt has Lupus (Libman sacs is not the MC lesion of the heart with Lupus – pericarditis is); Libman sacs is the 2 nd MCC, which is fibrinoid necrosis like rheumatic fever.
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