skyhigh
Forum Guru
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A 5-month old girl has fatigue on exertion. She was born at full-term with a birth weight of 9lb and had an uncomplicated perinatal period. She has been bottle fed, and there have been no feeding problems. She is alert and appears well. Physical examinationreveals a loud holosystolic murmur in the left parasternal region with an associated systolic thril. The first and second heart sounds are normal. There is no gallop or diastolic murmur. Her blood pressure is normal and in all four extremities , and she has palpable peripheral pulses. There is no peripheral edema or cyanosis. Which of the following is the most likely diagnosis?
a. Atrial septal defect
b. patent ductus arteriosus
c. patent foramen ovale
d. pulmonic stenosis
e. ventricular septal defect
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| Doc2378
Forum Guru
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? E. VSD (murmur's high pitched holosystolic, along the left parasternal border)
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| skyhigh
Forum Guru
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| msyamp
Forum Fanatic
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ya its VSD. hey doc you are pretty fast
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| Doc2378
Forum Guru
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Thanks MSyamp...I like cardio stuff....wish i could say tht for other subjects too
___________________
Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher
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| RayBerg
Forum Senior
Topics: 32
Posts: 150
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"Physical examinationreveals a loud holosystolic murmur in the left parasternal region with an associated systolic thril."
What does this tell you? When they say left parasternal region, which valve are we listening to?
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| hellohie
Forum Junior
Topics: 1
Posts: 38
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Yea its VSD.
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