A 30 year old patient has right upper limb BP of 180/95 mm Hg and left upper limb BP of 130/90 mm Hg. He also has early diastolic murmur in right 2 intercostal space. Which of the following would be LEAST likely associated with these findings?
(A) Supravalvular aoic Stenosis (B) Coarctation of aoa (C) Takayasu aeritis (D) Aoic dissection
(B) Supra valvular AS - pulse disparity (Coanda effect) - Systolic pressure in the right arm> left arm Streaming of the jet toward the innominate, RCCA, and right SCA Option B - Continuous murmur /systolic murmur Option C - MC blood vessel involved in Takayasu aeritis is Subclan aery. - DIASTOLIC murmur is seen. Option D -unequal BP may be present