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A 55-year-old man has had transient episodes of syncope with exercise for 6 weeks. He has a loud, harsh systolic murmur that radiates to the neck and dampened peripheral pulses. ECG shows left ventricular strain. Which of the following is the most likely diagnosis?A) Aortic insufficiencyB) Aortic stenosisC) Atrial septal defect D) Mitral insufficiency E) Mitral valve prolapse F) Truncus arteriosus G) Ventricular septal defect

2023年11月22日

numerade.com

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Mnemonic: Apartment-M & Mr Peyton Manning as MVP.• Definition: A heart murmur is an unusual sound produced by the heart that can be heard with a stethoscope. • Types: systolic (mitral regurgitation, aortic stenosis, mitral valve prolapse) vs diastolic (aortic regurgitation, mitral stenosis) • Treatment: The first step in evaluating a heart murmur is to refer the patient to a cardiologist. We should treat the underlying cause of the murmur.• Symptoms and Referral: Do not always present symptoms,

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