AAAAA
Forum Fanatic
Topics: 156
Posts: 1,991
|
A 20-year-old woman who is in the first trimester of her first pregnancy is evaluated in the office because of progressive dyspnea that began 6 weeks ago. She has no history of illness or hospitalization. She is not cyanotic, but has a prominent parasternal lift and a loud pulmonary component of S2. There is splitting of S2 during expiration. There is no S3, S4, or murmur noted. The electrocardiogram shows tall P waves in leads II, III, and VF; a tall R wave in lead V1; and right axis deviation.
Which of the following is the most likely diagnosis?
( A ) Patent ductus arteriosus
( B ) Mitral valve stenosis
( C ) Primary pulmonary hypertension
( D ) Ventricular septal defect
What is the complication? Do you recommend future pregnancy?
___________________
seeking study partner in USMLE, Canadian MCC OSCE examination
|
| mdwannabe
Forum Guru
Topics: 37
Posts: 1,133
|
This is Pulmonary HTN. The biggest Q is why... pregnancy is hypercoag state...did she throw a PE?? possibly. if not, then probably it is primary, then it made its appearance due to volume expansion due tp pregnancy. She would be suggested not to get pregnant again.
___________________
"Life not lived for others, is not worth living" Uncle Einstein
"A life is not important, except in the impact it has on other lives" -Jackie Robinson
|
|
| |
| | |
Similar forum topics