A 65 y/o man presents for a routine check-up. He states that he just recently received insurance through Medicare and this is his first check-up in 20 years. He denies dyspnea on exertion, orthopnea, and ankle swelling. On exam you note his blood pressure to be 165/98 and palpate a ventricular heave. An EKG shows left axis deviation and large voltage R waves in the lateral precordial leads. Which of the following combinations describe his likely heart pathology and heart sounds? a. Normal cardiac pathology; S1 and S2 b. Hypertrophic myocytes & interstitial fibrosis; S1, S2, S4 c. Patchy inflammatory infiltrate with focal necrosis; S1, S2, S3 d. Hypertrophic myocytes & interstitial fibrosis; S1, S2, S3 e. Patchy inflammatory infiltrate with focal necrosis; S1 and S2
Posted on: Tue, 16 Sep 2014 15:01:43 +0000
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