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Old 02-24-2012
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Default Head pounding, head bobbing + murmur = good Qs

A 34-year-old immigrant from South Asia presents to your office complaining of heart palpitations that are particularly prominent at night. He also notes that with moderate exertion, he experiences head "pounding" accompanied by involuntary head bobbing. He remembers being diagnosed with a heart murmur years before, but he cannot recall the type and has never received any treatment. Based on this patient's history, you suspect:

A. Restricted left ventricular filling
B. Impaired left ventricular contractility
C. Left ventricular outflow obstruction
D. Systolic-diastolic hypertension
E. Widening of the pulse pressure
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Old 02-24-2012
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E. Widening of the pulse pressure

AR
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Old 02-24-2012
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yes .... E
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Old 02-24-2012
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Quote:
Originally Posted by Hitman View Post
yes .... E
How did u come to the diagnosis...? i mean is it pathology....?..m done wd physio bt dis info nt in that
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Old 02-24-2012
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My choice is E.
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Old 02-24-2012
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Sounds like aortic regurg. So E.
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Old 02-24-2012
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Quote:
Originally Posted by NAZIAMK View Post
How did u come to the diagnosis...? i mean is it pathology....?..m done wd physio bt dis info nt in that

well the patient has difficulty sleeping at night = paraoxymal nocturnal dyspnea .... and HEAD BOBBING biggest clue for AR ..... these symptoms have developed over a time indicating LVF ..... due to AR .... AR has widened pulse pressure so thats the ANS .......
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