Monday, December 31, 2012

The Lost Art

Welcome back! You have a first year medical student tagging along and send her to listen to a murmur. She describes a mid to late diastolic rumble heard at the apex. S1 sounds normal and there is no opening snap. You are an old school pharmacologist so you administer inhaled amyl nitrate. The murmur decreases in intensity and duration. As you teach the medical student, you pull out an old pathology slide:

Challenge: What's the murmur? What's the valve defect? What does the slide show?

Image shown under Creative Commons Attribution Share-Alike License.


Abdillahi said...

Aortic regurgitation

Craig Chen said...

nice identification!
The Lost Art

This is an Austin Flint murmur, found in aortic regurgitation. The image shows myxomatous degeneration of the aortic valve.

Source: UpToDate; Wikipedia