Patient presents with a mid-diastolic murmur heard best at the apex and an early diastolic decrescendo murmur. What’s the most likely diagnosis?
Understand the Problem
The question is asking for the most likely diagnosis for a patient presenting with specific heart murmurs. It assesses knowledge of cardiology related to heart sounds and conditions.
Answer
Aortic regurgitation with Mitral stenosis.
The most likely diagnosis is Aortic regurgitation with coexisting Mitral stenosis.
Answer for screen readers
The most likely diagnosis is Aortic regurgitation with coexisting Mitral stenosis.
More Information
The combination of a mid-diastolic murmur at the apex and an early diastolic decrescendo murmur suggests overlapping conditions. Both murmurs can be present if there is mitral stenosis and aortic regurgitation.
Tips
A common mistake is to diagnose based only on one murmur. Both murmurs must be considered for an accurate diagnosis.
Sources
- Diastolic heart murmur - Wikipedia - en.wikipedia.org
- Mitral Stenosis - Cardiovascular Disorders - Merck Manuals - merckmanuals.com
- Aortic Regurgitation Exam | Stanford Medicine 25 - stanfordmedicine25.stanford.edu
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