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A 39-Year-Old Woman, Who Is a Known Case of Hyperthyroidism

Question 239

Multiple Choice

A 39-year-old woman, who is a known case of hyperthyroidism, presented to the office complaining of palpitations over the last month. On examination, the patient has an irregularly irregular heart rate measuring around 150 beats per minute, her blood pressure is 120/80 mm Hg. Her ECG reveals atrial fibrillation. A trans-esophageal echocardiogram shows a thrombus in the left atrium. If this thrombus embolized to the systematic circulation, which of the following organs would be the least vulnerable to ischemia?


A) Spleen
B) Brain
C) Kidney
D) Liver
E) Heart

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