Fellows,always palpate lower limb pulses in all hypertensives to rule out Coarct. shows why coarctation can be missed sometimes if not careful.The narrow segment of coarctation can be slightly more distally and the CWD if put more laterally need not pick up the high velocity.
Fellows, have you seen Ventricular Interdependence in tamponade?Filling of one ventricle at the expense of other occur classically in constriction. Tell me other causes of interdependence.
Examination of a 68-year-old man with interstitial lung disease was notable for skin changes characterized by alternating areas of hypopigmentation and hyperpigmentation on sclerotic skin. What is the most likely diagnosis?