Case No. 36

How would you rate this case?






Case No. 36


What is the issue?

Let us know in a brief paragraph or sentence why you are flagging this case. Here are some other issues we, at Medzcool, would like to know about:

  • Spam or misleading content
  • Violation of privacy
  • Unnescessary sexual content
  • Unnescessary violent content
  • Hateful or abusive content
  • Promotion of harmful acts


Flagged cases and users are reviewed withing 24 - 48 hours upon submission of a report. The report will be reviewed to determine whether the case and it's author (user) has violated Medzcool's Terms of Use and/or Community Guidelines. Accounts are penalized for violations to either the Terms of Use and/or Community Guidlines. Repeated violations can lead to account termination.

Thank you for your report, it will be reviewed within the next 24-48 hrs.
Chief Complaint:

Heart Murmur

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

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.


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

Massive pulmonary embolism
Rheumatic heart disease
Infectious endocarditis