pram
Forum Senior
Topics: 37
Posts: 67
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47 yr lady lives in a rural area and poor living conditions,has h/o breathlessness,orthoppnea and swollen legs.she is not a smoker but is an alcoholic,drinks 15 gm alcohol/day .She noticed a swelling on her anl=kle p/e : B.P 149/80,her short of breath is increasing when climbing upto exam couch .bilateral basal crackles CVS show diastolic murmur at apex .Tappering apex beat is present .What is diagonosis
a- AR
b-AS
c-TR
d-VSD
The same question above what investigation would u like to do next day
a- Chest X ray
b- ECG
c- Echo gramm
d- US
e- CTPA
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| kingsofke
Forum Guru
Topics: 24
Posts: 715
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a-AR
c-Echocardiogram
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| Jinx
Forum Elite
Topics: 17
Posts: 316
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1-a
2-c
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| pram
Forum Senior
Topics: 37
Posts: 67
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thanks
i was thinking same
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| mesh
Forum Guru
Topics: 77
Posts: 401
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1-a
2-c
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| jvo_md
Forum Senior
Topics: 22
Posts: 189
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1 - AR
2 - ECHO
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| AAAAA
Forum Fanatic
Topics: 156
Posts: 1,991
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1. chronic aortic regurgitation (not acute)
2. Transesophaegeal echocardiogram (the risk of
aortic dissection may not be high).
Also this patient may have co-morbidity of
a) alcoholic cardiomyopathy
The medical treatment in aymptomatic pt is vasodilator
But surgery is indicated for symptoms, LVD, and significant left ventricular dilation.
**** Left ventricular dilation is probably more than 75 mm in diamenter (the normal End-diastolic ventricular diameter is probably 55 mm for a 75 kg man ) ???
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