Bifalgorithm post

A 38 -year-old woman is brought to the emergency department. Due to an episode of syncope, the patient has felt weak and has not eaten well over the last two weeks. Temperature is 38.1 C 100.8 F, blood pressure is one and 15th 57 mmhg and pulse is 48 per minute and regular. The oral mucosa is dry and dentition is poor. An early diastolic murmur is heard at the left stern border at full expiration. The lungs are clear, the abdomen is soft and non- tendernder ecg reveals sinus rhythm with a twocoal and one secondgre atria. Ventricular block. Laboratory results are as follows, leucocytes 13, 500 m, hemoglobin 10.7 g DL, platelets ten m. Which of the following is the most likely diagnosis in this patient.

A 38 -year-old woman is brought to the emergency department. Due to an episode of syncope, the patient has felt weak and has not eaten well over the last two w…