Author Archives: alloymrcp

A 21-year-old male is referred to the endocrine clinic with poorly developed secondary sexual characteristics. The only relevant finding on history is that he has a very poor sense of smell. On examination he has no axillary or pubertal hair, … Continue reading →

1 known and suspected arotic disssection, 2 major sugery/trauma  in 3w, 3 active internal bleeding (except menses), 4 CNS damage or tumor, 5 previous hemorrhagic stroke  6 ischemic stroke in 6m, 7 diabetic proliferative rentinopathy,

Bicuspid aortic valve,   Arotic coarctation   ，  

sx occur after calcification inducing AS or AR

Marantic endocarditis

-pan-systolic murmur: VSD, MR,