RT Book, Section
A1 Kalscheur, Matthew M.
A2 Stern, Scott D.C.
A2 Cifu, Adam S.
A2 Altkorn, Diane
SR Print(0)
ID 1206702190
T1 Patient with Hypotension - Case 2
T2 Symptom to Diagnosis: An Evidence-Based Guide, 4e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260121117
LK accessmedicine.mhmedical.com/content.aspx?aid=1206702190
RD 2025/07/10
AB PATIENT  Mr.  A  is  a  51-year  old  man  who  arrives  at  the  emergency  department  feeling  weak.  He  has  a  history  of  a  bicuspid  aortic  valve  and  aortic  stenosis.  One  week  ago,  he  underwent  a  mechanical  aortic  valve  replacement.  He  denies  any  recent  nausea,  vomiting,  melena,  or  bright  red  blood  per  rectum.  He  has  not  had  a  cough,  dysuria,  urinary  frequency,  abdominal  pain,  or  fever.  On  physical  exam  his  pulse  is  115  bpm  and  BP  is  85/65  mm  Hg.  His  neck  veins  are  visible  to  the  angle  of  his  jaw  and  his  skin  is  cool.At  this  point,  what  is  the  leading  hypothesis,  what  are  the  active  alternatives,  and  is  there  a  must  not  miss  diagnosis?  Given  this  differential  diagnosis,  what  tests  should  be  ordered?