DrVirgo
Forum Hero
Topics: 1096
Posts: 3,515
|
She has mitral stenosis… Why is there an opening snap in S2?
What is increased? Why
B. Diastolic filling time.
E. increased pulmonary artery pressure due to the long standing MS now going into failure.. The rt ventricular heave supports the diagnosis.
Attached Files:
3.24.JPG (94 KB, 77 downloads)
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
|
| radonc
Forum Senior
Topics: 10
Posts: 180
|
My answer is E. increased PAP.
I don't know why the question states there is a loud opening snap in S2. I thought it's loud opening snap in S1.
|
| hanwin
Forum Senior
Topics: 6
Posts: 157
|
Yes, E
|
| Justice
Just signed contract
Topics: 118
Posts: 2,372
|
E
___________________
The winner takes it all...
|
| robin082006
Forum Hero
Topics: 471
Posts: 5,123
|
E
___________________
The Key to Succeed is Patience.
|
| DrVirgo
Forum Hero
Topics: 1096
Posts: 3,515
|
Mitral Stenosis is a problem with the valve opening. It opens before diastole- filling. so there will be an opening snap at S2.
in MS does diastolic filling time increase? (choice B)? Please explain. thanks.
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
|
| DrVirgo
Forum Hero
Topics: 1096
Posts: 3,515
|
Basically, I understand why E is right, but I'm not sure if B is completely wrong.
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
|
| haduytu7
Forum Newbie
Topics: 2
Posts: 24
|
Mitral stenosis -> heart failure -> tachycardiac -> decrease diastolic filling time-> B is wrong!
|
| radonc
Forum Senior
Topics: 10
Posts: 180
|
Dr Virgo, you are right. Opening snap in S2.
|
| DrVirgo
Forum Hero
Topics: 1096
Posts: 3,515
|
If the mitral valve is stenosed and narrowed, won't it take longer to open, thus it will take longer to fill the LV, so diastolic filling time will be INCREASED? Choice B??
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
|
|
| |
| | | | | | | | | | |
Similar forum topics