Anatomy clinical correlates Quiz: Ace Your Exams
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A 66-year-old woman presents to the emergency department after developing acute onset, left-sided weakness. The patient’s daughter reports she found her mother sitting in a chair, unable to lift her left arm or leg. The patient’s past medical history includes hypertension and hyperlipidemia, for which she takes hydrochlorothiazide and atorvastatin. The patient’s temperature is 37°C (98.6°F), pulse is 110/min, respirations are 18/min, blood pressure is 177/86 mmHg, and O2 saturation is 97% on room air. Neurologic examination demonstrates a right-sided gaze deviation and 2/5 strength in the left upper and left lower extremity. An initial electrocardiogram is shown below. Which of the following structures of the heart is the most common origin of the thrombus implicated in this patient’s clinical condition?

Image reproduced from Wikimedia Commons.

Image reproduced from Wikimedia Commons.
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