Coarctation of the aorta Quiz: Ace Your Exams
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A 25-year-old woman is evaluated for fatigue and leg pain that began around four months ago. The pain worsens with physical activity and improves with rest. She has no notable past medical history, aside from an episode of pharyngitis when she was 12 years old, which self-resolved. Temperature is 37.0°C (98.6°F), pulse is 80/min and respirations are 20/min. Upper extremity blood pressure is 135/82 mmHg, and lower extremity blood pressure is 105/70 mmHg. Physical examination shows delay in the femoral pulse compared with the brachial pulse. No signs of cyanosis are observed. Which of the following best describes the underlying pathophysiology of this patient’s condition?
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