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  #1  
Old 02-18-2012
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Heart Mitral Stenosis Clinical Findings

A 33-year-old Hispanic female who recently emigrated from Mexico is brought to the ER with severe shortness of breath and hemoptysis. She is treated with diuretics, and begins to feel better. However, she develops right-sided hemiparesis soon after. Based on the history and initial physical examination, you suspect mitral stenosis is responsible. Which of the following findings is LEAST consistent with isolated mitral stenosis in this patient?

A. Right ventricular dilation
B. Increased systolic pulmonary artery pressure
C. Increased pulmonary capillary wedge pressure
D. Tricuspid regurgitation
E. Increased diastolic left ventricular pressure
F. Reduced pulmonary compliance
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  #2  
Old 02-18-2012
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Default E

E seems to be the answer.
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Old 02-18-2012
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yes E ........
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  #4  
Old 02-19-2012
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E....
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Old 02-19-2012
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Yo... Ehh somebody can explain yourself please
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Old 02-19-2012
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Quote:
Originally Posted by cabreravelezmd View Post
Yo... Ehh somebody can explain yourself please
In Mitral Sten (MS), less blood will flow into LV during diastole due to incomplete opening (ie MS), and therefore less diastolic pressure, which is the amount of blood in LV.

Mitral Regurg on the other hand would cause E due to increased preload.
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Old 02-19-2012
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i didn't read the question correctly. I agree with those above.
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Old 02-20-2012
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Help ...E

This is an UW question. To make it easy... MS is common among people but is asymptomatic, I'll say it again no symptoms . However, when you find that your patient has a symptomatic MS, you have to think that there is something else going on with your patient. Of all the possible answers... All of the symptoms that we can see.... Only E is the one that is not possible to be present.
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Old 02-21-2012
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This is a very nice question. Personally i like this type, cose it makes u use your imagination. Try to picture whats going on in the heart when there is a stenotic mitral valve. Picture it before u read the answers and then, the correct one will pop right out.

A. Right ventricular dilation
B. Increased systolic pulmonary artery pressure
C. Increased pulmonary capillary wedge pressure
D. Tricuspid regurgitation
E. Increased diastolic left ventricular pressure
F. Reduced pulmonary compliance[/QUOTE]
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