bariluis
Forum Junior
Topics: 11
Posts: 39
|
A mother brings her 10-year-old son to your office because he lost consciousness the day before while running. She says that he had had similar episodes in the past, but has never been seen by a doctor. She also states that he does not seem to be able to play as long as most of his friends. On physical examination you detect a systolic ejection murmur and find that the apical impulse is lateral to the mid clavicular line. Which one of the following is the most likely diagnosis?
1) mitral valve stenosis
2) aortic stenosis
3) coarctation of the aorta
4) aortic insufficiency
5) patent ductus arteriosus
|
| drnadeemusmani
Forum Senior
Topics: 29
Posts: 145
|
aortic stenosis
|
| bariluis
Forum Junior
Topics: 11
Posts: 39
|
Tx. The line about the apical impulse is a bit confusing. 
|
| ngaybinhyen
Forum Guru
Topics: 23
Posts: 657
|
I agree about the apical impulse. However, by exclusion, a systolic murmur can't be typically a PDA, AI, MS. A H/o syncope on exertion is one of the indication for severe AS.
2) AS
-t.
|
| paheli
It'sAllAboutGoodKarma
Topics: 197
Posts: 2,720
|
Yep, it's 2.
___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows. Internship, Here I come!!
|
| drms
Forum Guru
Topics: 14
Posts: 947
|
2
___________________
“It is a funny thing about life; if you refuse to accept anything but the best, you very often get it.”
|
|
| |
| | | | | | |
