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The patient developed increasing dyspnea on exertion and by the third hospital day, her INR had increased to 7. Individual criteria were evaluation by a chest radiograph (82%), administration of an antimicrobial drug (80%), dyspnea on exertion (56%), pleurisy (44%), and multiple visits for the same condition (42%). Eleven years later, the woman noticed a gradual worsening of her voice and dyspnea on exertion. |
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