A 28-year-old Caucasian female presents to her primary care physician complaining of a one-week history of fatigue, progressively worsening shortness of breath, and swelling of her feet and ankles. She denies any chest pain. Her past medical history is unremarkable except for a recent cold two weeks prior to this presentation. She denies any past surgical history. She takes oral contraceptive pills as her only medication. She denies any recreational drug use. On physical exam, her temperature is 37 C (98.6 F), blood pressure is 120/70 mmHg, pulse is 84/min, and respiratory rate is 20/min. Her physical exam is also notable for bibasilar crackles, jugular venous distension, an S3 gallop, and 2+ pitting edema up to the ankles bilaterally. Her electrolytes and complete blood count are within normal limits. Transthoracic echocardiogram of her heart will likely show which of the following? 1. Mitral stenosis 2. Aortic valve vegetations 3. Idiopathic pulmonary arterial hypertension 4. Dilated ventricles with diffuse hypokinesia 5. Eccentric cardiac hypertrophy
Posted on: Sun, 09 Mar 2014 10:57:24 +0000
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