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18309 Medicine

A 30-year-old female presents with a 3-month history of 10kg weight loss despite an increased appetite. She also complains of anxiety, diarrhea and amenorrhea. Examination reveals a fine tremor, brisk reflexes and a systolic murmur heard throughout the precordium. A urine pregnancy screen was negative. What is the most likely finding on examining the pulse?

APulsus paradoxus
BCollapsing pulse
CIrregularly irregular pulse
DPulsus alternans
Medicine
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