AAAAA
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A 28-year-old woman, who is 29 weeks' pregnant, is evaluated because of progressive dyspnea of 3 weeks' duration. Cardiovascular examination shows elevated jugular venous pressure and a heart rate of 100/min. The apical impulse is prominent, and a parasternal impulse is present. An opening snap and a grade 2/6 diastolic rumble with presystolic accentuation are noted in the fourth left interspace. No systolic murmur is noted. S2 is accentuated. An electrocardiogram shows sinus tachycardia, left atrial enlargement, and right axis deviation.
Which of the following is the most likely diagnosis?
( A ) Aortic regurgitation
( B ) Atrial septal defect
( C ) Mitral stenosis
( D ) Patent ductus arteriosus
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| bo
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C-mitral stenosis
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| amirhossein
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C. MS
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| AAAAA
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MS
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| PGI2alpha
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MS
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| Dr.D
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Mitral Stenosis
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| AAAAA
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C
Try this
A 35-year-old woman, who is 39 weeks' pregnant, is evaluated in the office because of progressive dyspnea of 13 days' duration. She was previously asymptomatic and has no history of cardiovascular disease. This pregnancy is her first. Physical examination shows a jugular venous pressure of 13 cm H2O, a diffuse apical impulse, an apical holosystolic murmur, and a third heart sound. Crackles are noted in both lungs. An electrocardiogram shows sinus tachycardia, but is otherwise normal.
Which of the following is the most likely diagnosis?
( A ) Aortic valve stenosis
( B ) Atrial septal defect
( C ) Mitral stenosis
( D ) Peripartum cardiomyopathy
( E ) Tricuspid valve regurgitation
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| egomez2001
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Agree with C-MS
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| egomez2001
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Second Qs- A
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| PGI2alpha
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A?
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| egomez2001
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no, d
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| mdwannabe
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I d still say TR...based on murmur. Though some sigs of CM present. Diffuse AI, tachy, cracles.
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| drk1980
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mdwannabe wrote:
I d still say TR...based on murmur. Though some sigs of CM present. Diffuse AI, tachy, cracles.
Besides the mechanical characteristics of a mumur, its important to consider accompanying signs and symptoms. You yourself have listed signs quite indicative of CM, is thr any particular reason why u would still say TR?
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| CocaCola
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d- cardiomyopathy
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| peakock13
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 I think it is MS
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