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Miscellanea
Spontaneous dissection of left atrium presenting as pulmonary oedema
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A 28 year old man presented to the emergency department with a history of sudden onset dyspnoea of two days’ duration following a brief argument with his employer. On examination the patient was experiencing class 4 shortness of breath, with bilateral diffuse coarse rales in both lung fields. He had a grade 3/6 soft blowing early …