BOF: 2.229
A 76 year old male is being
investigated for breathlessness due to probable valvular heart disease.
Investigations are as follows:
|
|
Oxygen saturation |
Pressure |
|
Right atrium |
64 |
6 |
|
Right ventricle |
66 |
24/5 |
|
Pulmonary artery |
66 |
24/16 |
|
Left ventricle |
98 |
220/20 |
|
Aorta |
98 |
220/60 |
In this patient which physical sign
are you likely to elicit in this patient in addition to the murmur heard due
to the valvular lesion?
a)
Mid diastolic murmur
b)
Pan systolic murmur
c)
Loud second heart sound
d)
Fourth heart sound
e)
Diastolic knock