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Old 05-12-2011
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Stethoscope Rheumatic fever causes which murmur?

I'm really confused on if rheumatic heart disease causes a aortic stenosis or a mitral regurgitation or mitral stenosis, it's really confusing me......
thanks for the help
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Old 05-12-2011
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early lesion causes mitral valve prolapse
late sequalae of lesion causes mitral stenosis
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Old 05-12-2011
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Endocarditis in rhaumatic fever affects the mitral valave most commonly, aortic valve less commonly, tricuspid & pulmonary valaves rarely

It starts as regurgitation at first, & years later it becomes stenosis

Mitral regurgitation: high-pitched apical holosystolic murmur radiating to axilla
Aortic regurgitation: high-pitched decresendo diastolic murmur at upper left sternal border

And there's what's called "Carey-Coombs murmur": mid-diastolic rumbling murmur heard at the apex
it's due to the thickening of the inflammed mitral valve leaflets during the early stage of rheumatic fever

Hope this answers your question
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Cardiovascular-, Clinical-Signs, Pathology-

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