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Old 11-07-2012
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Arrow Gyrus Daily Questions; Internal Medicine #76

A 12-year-old African American Male is found to have a,murmUr during routine sports Physical. He has 'a family history of sudden death at a young age it is a harsh crescendo-decrescendo murmur that begins after S1 and is best heard at the left lower sternal border. Valsalva maneuver intensifies the murmur. Which of the followina is the most likely rnitral valve abnormality this patent?

A. Dilated mital valve annulus
B. Rupture of chordae tendinea
C Abnormal mitral leaflet motion
D .Mitral annulus calcifications
E. Prolapse of the mitral valve
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Old 11-07-2012
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Letter C, abnormal ANTERIOR LEAFLET MOTION

Do not decrease preload in these patients, do not give digoxin and counsel that these patients stop doing vigorous exercise if they want to live.. haha
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C Abnormal mitral leaflet motion or SAM

Quote:
The management of patients with HCM encompasses
(1) activity restriction with avoidance of volume depletion,
(2) control of symptoms,
(3) prevention of sudden death, and
(4) screening of relatives.
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Last edited by Novobiocin; 11-07-2012 at 11:45 AM.
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Hocm..........c..............
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Matched!!!
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