By Dominici F.
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Extra info for Smooth quantile ratio estimation with regression: estimating medical expenditures for smoking-attributable diseases
Moreover, he consumed 3 to 4 pegs of whiskey and smoked 10 to 12 cigarettes on most days of the week. Physical Examination • Patient apprehensive, dyspneic and diaphoretic • BP: right arm 100/80, left arm 200/120 • Pulse: right radial feeble, left radial bounding femoral pulses well felt and systolic bruit heard • CVS: Normal precordium and apex beat location S1 and S2 normal; S3 gallop audible Faint early-diastolic murmur along left sternal border • Chest: few scattered basilar rales bilaterally.
The best imaging modality for confirming the diagnosis of dissection is under debate. Transesophageal echocardiography, MRI, CT scanning and Aortography all have high sensitivity and specificity. • Aortic dissection has been classified by De Bakey as type I which begins in the ascending aorta just above the aortic valve; type II, which is limited to the ascending aorta; and type III, which begins at or just distal to the origin of the left subclavian artery. If dissection is limited to the descending thoracic aorta, it is classified as type IIIA; type IIIb extends to the abdominal aortic bifurcation and lower down.
Dynamic Precordium & Pansystolic Murmur 31 Diagnosis MITRAL REGURGITATION Discussion • The common causes of mitral regurgitation are: – Rheumatic heart disease – Mitral valve prolapse – Papillary muscle dysfunction – Mitral annular calcification – Idiopathic cardiomyopathy. • On echo, the amplitude of motion of the IV septum and LV posterior wall is exaggerated in MR due to valvular disease. In functional MR due to annular stretching, there may be global hypokinesia in cardiomyopathy or regional wall motion abnormality (RWMA) due to old myocardial infarction.
Smooth quantile ratio estimation with regression: estimating medical expenditures for smoking-attributable diseases by Dominici F.