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47 M pins and needles, weakness in R leg 1 hour after confusion scuba diving earlier today Diffuse lung crackles S4 gallop 2/6 systolic ejection murmur over LSB strength 4/5 Dx?

/in /by

47 M
pins and needles, weakness in R leg 1 hour after confusion
scuba diving earlier today
Diffuse lung crackles
S4 gallop
2/6 systolic ejection murmur over LSB
strength 4/5
Dx?

 
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