Sponsored Links
Results 1 to 4 of 4

Thread: Cardio q2 N*

  1. #1
    Roxanita is offline Senior Member
    Join Date
    May 2004
    Posts
    539
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts

    Cardio q2 N*

    Advertisements



    A 50-year-old man has a 10-year history of poorly controlled Hypertension.
    Vital signs are:
    Pulse 96/min
    Respirations 16/min
    Blood pressure:
    Left arm 226/120 mm Hg
    Right arm 218/118 mm Hg

    With the patient in the left lateral decubitus position, a late diastolic sound is heard best with the bell at the apex. Which of the following is the most likely explanation for this auscultatory finding?

    A) Aortic insufficiency
    B) Aortic stenosis
    C) Mitral insufficiency
    D) Mitral stenosis
    E) Opening snap
    F) Pulmonic insufficiency
    G) Pulmonic stenosis
    H) S3
    I) S4
    J) Tricuspid insufficiency

  2. #2
    Asclepius1's Avatar
    Asclepius1 is offline Ultimate Member 537 points
    Join Date
    Feb 2006
    Posts
    5,087
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts

    Re: Cardio q2 N*

    Quote Originally Posted by Roxanita
    A 50-year-old man has a 10-year history of poorly controlled Hypertension.
    Vital signs are:
    Pulse 96/min
    Respirations 16/min
    Blood pressure:
    Left arm 226/120 mm Hg
    Right arm 218/118 mm Hg

    With the patient in the left lateral decubitus position, a late diastolic sound is heard best with the bell at the apex. Which of the following is the most likely explanation for this auscultatory finding?

    A) Aortic insufficiency
    B) Aortic stenosis
    C) Mitral insufficiency
    D) Mitral stenosis
    E) Opening snap
    F) Pulmonic insufficiency
    G) Pulmonic stenosis
    H) S3
    I) S4
    J) Tricuspid insufficiency
    I think this patient has cardiomyopathy/CHF so S3 wouldn't be surprised. S3 is heard best at the apex with a high frequency stethoscope/ the bell.

  3. #3
    Asclepius1's Avatar
    Asclepius1 is offline Ultimate Member 537 points
    Join Date
    Feb 2006
    Posts
    5,087
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts
    I think it is S4 since later...

  4. #4
    Asclepius1's Avatar
    Asclepius1 is offline Ultimate Member 537 points
    Join Date
    Feb 2006
    Posts
    5,087
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts
    1.Aortic stenosis and Mitral inufficiencies and Pulmonic stenosis are systolic murmurs.
    2. Mitral stenosis and Aortic insufficiencies and pulmonic insufficiency are diastolic murmurs
    3. Opening snap is heard with mitral stenosis during mid diastole
    4. S3/S4 normally not heard unless there decreased ventricular compliance.
    PP is is diffrence btw dastole - sytole (nl-40)
    PP in this case is elevated. Do not remember in which cases and why it would be elevated.
    Could someone explain?

Similar Threads

  1. Cardio#5
    By IMG SURVIVOR in forum Pathology Forum
    Replies: 4
    Last Post: 06-05-2009, 04:37 PM
  2. Hy 2545 Cardio Cardio Cardio!
    By tommyk in forum USMLE Step 1 Forum
    Replies: 0
    Last Post: 10-30-2006, 04:12 AM
  3. Cardio Q-1
    By Roxanita in forum Pathology Forum
    Replies: 4
    Last Post: 09-07-2005, 04:37 AM
  4. cardio 3
    By Asclepius1 in forum USMLE Step 1 Chats
    Replies: 0
    Last Post: 04-26-2005, 08:40 PM
  5. cardio 2
    By Asclepius1 in forum USMLE Step 1 Chats
    Replies: 0
    Last Post: 04-25-2005, 08:53 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •