Case No. 36

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Case No. 36

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Chief Complaint:

Heart Murmur

Published: June 12, 2017
Case No. 36
Author: Medzcool
CASE SCENARIO

A 45 year female presents to her primary care doctor for a annual health visit. Her doctor notices she has a diastolic heart murmur. It is accompanied by an opening snap after S2 following by the decrescendo-crescendo diastolic murmur. The murmur is louder during a valsalva maneuver and is best heard at the Apex. She otherwise does not have any complaints, no infectious symptoms, no chest pain or shortness of breath.

QUESTION

What is the most likely cause of this patient's murmur?

Massive pulmonary embolism
Rheumatic heart disease
Infectious endocarditis
Pericarditis