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What is the treatment for a patient with IV drug use, JVD, and a holosystolic murmur at the left sternal border?

1) Antibiotics
2) Diuretics
3) Anticoagulants
4) Surgery

1 Answer

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Final answer:

The treatment for a patient with IV drug use, JVD, and a holosystolic murmur at the left sternal border depends on the underlying conditions. Antibiotics are used to treat infective endocarditis, diuretics may be prescribed to alleviate JVD, and surgery may be necessary for a ventricular septal defect.

Step-by-step explanation:

The treatment for a patient with IV drug use, JVD, and a holosystolic murmur at the left sternal border would depend on the underlying conditions causing these symptoms. IV drug use increases the risk of infective endocarditis, which is an infection in the lining of the heart. In this case, treatment involves intravenous antibiotics to combat the infection.

JVD stands for Jugular Venous Distension, which is an indicator of fluid overload or heart failure. Diuretics may be prescribed to help reduce fluid levels in the body and alleviate JVD.

A holosystolic murmur at the left sternal border suggests a ventricular septal defect (VSD), which is a hole in the wall that separates the heart's chambers. The treatment for a VSD depends on the severity and clinical symptoms. In some cases, observation and medical management may be sufficient. However, if the VSD is causing significant symptoms or complications, surgery may be necessary to repair the defect.

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