A 23-year-old lady with exertional dyspnea shows up at the workplace. She occasionally has a dry cough, but she has never experienced palpitations, syncope, or chest discomfort. Three years ago, the patient left Cambodia. As a toddler, she experienced swelling in both knees. The results of cardiac auscultation above the cardiac apex are listed below. Which of the following describes the patient's symptoms most accurately?

Question

Quizplus · Accepted Answer

Eductional Objective: Mitral regurgitation causes a blowing holosystolic murmur best heard at the cardiac apex and with radiation to the axilla. Rheumatic heart disease is a common cause of both mitral regurgitation and mitral stenosis and is most commonly seen in patients who grew up in Latin America, Africa, or Asia

A 23-Year-Old Lady with Exertional Dyspnea Shows Up at the Workplace