form1---AR or MS?

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form1---AR or MS?

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11 Posts

USMLEGladiator
2009 & still in race
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07/07/08 - 10:16 AM

#1

28-year-old woman at 28 weeks' gestation reports excessive fatigability and dyspnea. Her blood pressure is 118/74 mm Hg, pulse is 110/min and regular, and lungs are clear to auscultation. The cardiac apex is not palpable. S1 is loud, and there is a sharp sound after S2. A low-frequency diastolic murmur is heard at the apex that increases in intensity before S1. Which of the following is the most likely diagnosis?

A
) Aortic regurgitation

B
) Ebstein's anomaly

C
) Mitral regurgitation

D
) Mitral stenosis

E
) Tricuspid regurgitation

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USMLEGladiator
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07/07/08 - 10:20 AM

#2

WHAT IS SHARP sound after S2? is it opening snap of MS?

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liliaeliz
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07/07/08 - 11:45 AM

#3

WHAT IS SHARP sound after S2? is it opening snap of MS?

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liliaeliz
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07/07/08 - 11:46 AM

#4

yes ,the answer is d

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innocent devil
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07/07/08 - 12:15 PM

#5

diastolic murmur at apex...sound after s2 and lound s1

i think its mitral stenosis

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Eagle_303
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07/07/08 - 04:01 PM

#6

Sharp sound after S2 = opening snap

The correct answer is MS ?

Thread Extension :

Why is this not AR ??

hero
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07/07/08 - 04:14 PM

#7

Eagle_303 wrote:

Thread Extension :

Why is this not AR ??

diastolic murmur at apex

Eagle_303
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07/07/08 - 04:23 PM

#8

In AR diastolic murmur can be heard at the apex (Austin Flint ) .

hero
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07/07/08 - 04:44 PM

#9

Eagle_303 wrote:
In AR diastolic murmur can be heard at the apex (Austin Flint ) .

can it be as a single auscultation finding in AR?

Eagle_303
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07/07/08 - 05:00 PM

#10

Of course it cannot be present isolatedly. But in the stem question what is the clue which negates the diagnosis of AR ?

MAB
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07/11/08 - 05:36 PM

#11

also please check the pulse pressure for AR

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