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A man comes in with sob,TIA.he has intermittent fever and a diastolic murmur.the murmur changes markedly with bodily position. The sedimentation rate is elevated.
1.what is the most likely dx?
2.what is the most accurate diagnostic test?
3.what is the t/t

1. atrial myxoma
2. echo
3. surgical removal

Yeah that's correct!!
Ans: atrial myxoma
Hint(murmur that changes markedly with bodily position) ,increase sedimentation rate,tia was due to embolization of myxoma
Dx:echo
T/turgical removal is the only therapy!
Thank u for the discussion..

thank you for the question