Question

A 61-year-old male presents with a recent history of increased fatigue with mildly increased exertional dyspnea. Patient denies any significant past medical history but states that he had some heart problems as a child, though he was never clear as to what was the problem. On cardiac examination, you hear an early diastolic, soft decrescendo murmur with a high pitch quality, especially when patient is sitting and leaning forward. No thrill is felt.

Based on this patient's presentation, you expect the patient to have...
1. Tricuspid stenosis
2 Aortic regurgitation
3 Mitral stenosis
4 Mitral valve prolapse
5 Pulmonic stenosis

Answer 1

Based on the patient's presentation, the most likely condition is aortic regurgitation, characterized by a soft, decrescendo murmur heard during diastole.

Step-by-step explanation:

Based on the patient's presentation, the most likely condition is aortic regurgitation. Aortic regurgitation is characterized by a soft, decrescendo murmur heard during diastole, indicating that the aortic valve is not closing properly and allowing blood to leak back into the left ventricle. The high-pitched quality and the fact that the murmur is more pronounced when the patient is sitting and leaning forward are also consistent with aortic regurgitation.