Question

question 36 (mandatory) (2 points)
listen
a 22 year old female patient complains of blurred vision, headaches and some memory loss. you find it difficult to find either of the radial pulses, and you have to use the dorsal pedal artery to evaluate heart rate and rhythm. what might be the most likely etiology?
schaumberg disease
takayasu disease
mitral valve stenosis
syphilitic aortitis

Explanation:

Takayasu disease is a chronic inflammatory disorder that primarily affects large - and medium - sized arteries. Symptoms such as blurred vision (due to reduced blood flow to the eyes), headaches (from reduced cerebral blood flow), and difficulty in palpating radial pulses (as the disease can involve the subclavian arteries) are characteristic of Takayasu disease. Schaumberg disease is a type of peripheral neuropathy mainly affecting the lower extremities and not typically associated with these systemic and arterial - related symptoms. Mitral valve stenosis mainly affects the heart's left atrium and ventricle filling and is more likely to present with symptoms like dyspnea, atrial fibrillation rather than the described arterial - related symptoms. Syphilitic aortitis is a late complication of syphilis and usually presents in older individuals (after a long - standing untreated syphilis infection) and has a different clinical course compared to the symptoms described here.

Answer:

Takayasu disease