A 69-year-old man with metastatic pancreatic adenocarcinoma presents with transient right arm weakness resolving within 20 minutes. Vital signs: BP 128/76 mmHg, HR 88 bpm, RR 16, temp 37.2°C, SpO2 98% on room air. He denies fever. Echocardiography demonstrates small sterile vegetations along the mitral valve closure line. Prothrombin time is normal. Which of the following is the most likely diagnosis?
- A)Nonbacterial thrombotic endocarditisGABARITO
- B)Rheumatic valvulitis
- C)Acute infective endocarditis
- D)Carcinoid valvular disease
- E)Libman Sacks endocarditis
Explicação
Nonbacterial thrombotic endocarditis consists of sterile platelet and fibrin vegetations along valve closure lines and is associated with malignancy and hypercoagulable states. These lesions can embolize and cause transient ischemic attacks or stroke. The abse... Ver explicação completa e trilha adaptativa →