Cardiac Valve problem

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Cardiac Valve problem

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11 Posts

Bela
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06/22/04 - 02:06 PM

Elderly man w/ 10 yo hx of poorly controlled HTN. Pulse: 96; Resp: 16; BP: L.A: 226/120; R.A: 218/118. Dx?

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mjl1717
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06/22/04 - 04:14 PM

I assume LA and RA stand for left arm and right arm respectively-unless more hx or info is given all that can be said is a dx of malignant HTN making him a candidate for CVA,MI and renovascular ds etc

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Bela
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06/22/04 - 09:14 PM

mjl, they want to know what valvular problem. Ie: aortic stenosis, tricuspid regurg etc. That's all they gave in the question stem.

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mjl1717
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06/22/04 - 09:54 PM

my semieducated guess -aortic stenosis

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mjl1717
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06/22/04 - 10:05 PM

blank

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mash
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06/22/04 - 10:25 PM

aortic regurgitation

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mani
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06/23/04 - 04:29 PM

yes aortic stenosis shouldnt result in increased pulse pressure. but older age pt usually have aortic sclerosis. i dont think hypertention can lead to AR

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bright_nnn
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06/26/04 - 03:13 PM

I think it is Mitral Regurge

HTN :arrow: Left vent. Hypertrophy :arrow: Mitral regurge(strech on mitral valve)

hiwa
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06/27/04 - 07:15 PM

since no clue is given the only explanation is functional aortic regurge

mash
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07/05/04 - 10:17 AM

#10

"mani" wrote:
yes aortic stenosis shouldnt result in increased pulse pressure. but older age pt usually have aortic sclerosis. i dont think hypertention can lead to AR

most common cause of AR is long standing HTN

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mani
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07/05/04 - 05:15 PM

#11

thanx mash, i get it

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