[HSF] Sympathy anyone.......

[Rwmfglycar at aol.com]

In a message dated 5/1/2008 11:36:34 P.M. Eastern Daylight Time,  
anianyanwu at hotmail.com writes:

four day  history moreso will push most doctors to a diagnosis of acute 
coronary  syndrome - even if there are truly marfanoid features - as in the 
emergency  medical cookbook, dissection is an acute presentation and not a four day 
one.  




Whatever your cookbook says, dissections are by no means always a  one day 
presentation. Dissections can stutter along; in fact they can mimic  numerous 
other symptom patterns for numerous diseases. Marfan patients are  particularly 
prone to less than critical dissections prior to the big one.
The truth of the matter is that the cardiologists were thinking down their  
own little alley and not engaging in the old fashioned exercise of differential 
 diagnosis.
Bob



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