yad
Forum Junior
Topics: 12
Posts: 30
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Hi,
Can someone please explain the answer to this question:
50 yr old man with hx of poorly controlled htn. BP L arm- 226/120 and BP R arm-218/118. Patient in left lateral decubitus position, and a late diastolic murmur is heard best with bell at the apex. What best explains this findings.
I thought answer was mitral stenosis. But I think answer is aortic insufficiency.
Someone please break it down for me 
Thanks!
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| new_n_lost
Forum Hero
Topics: 724
Posts: 6,397
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I also got confused by this question. The Question clearly asks for a Late Diastolic SOUND not a Murmur which i took as an Austin Flint Murmur of AI. But the questions for a sound which is S4 option I cos the pt is of HTN and a late diastolic sound best heard at the apex in the Lateral decubitus position is S4.
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"never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| yad
Forum Junior
Topics: 12
Posts: 30
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Thank you for breaking it down for me. I was so lost!
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| new_n_lost
Forum Hero
Topics: 724
Posts: 6,397
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Yad ............. Have u figured out this one yet. http://www.prep4usmle.com/forum/comments.php?id=60553
___________________
"never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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