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3 votes
-S4

-delayed and diminished carotid pulse (pulsus parvus et tardus)
-single and soft S2
-harsh ejection (crescendo-decrescendo murmur in second right intercostal space with radiation to carotids
what is the work-up?

User Dean Le
by
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1 Answer

7 votes

Final answer:

A work-up for the symptoms described would typically involve several diagnostic tests and evaluations to determine the underlying cause. Possible tests include an echocardiogram, electrocardiogram, cardiac catheterization, and magnetic resonance imaging.

Step-by-step explanation:

A work-up for the symptoms described would typically involve several diagnostic tests and evaluations to determine the underlying cause. Based on the symptoms mentioned, a possible diagnosis could be aortic stenosis. Aortic stenosis is a condition where the aortic valve becomes narrowed, causing restricted blood flow from the heart.

To confirm the diagnosis and evaluate the severity of the stenosis, the following tests may be done:

  1. Echocardiogram: This ultrasound imaging test can provide detailed images of the heart, including the aortic valve, to assess its structure and function.
  2. Electrocardiogram (ECG): A test that records the electrical activity of the heart to detect any abnormalities.
  3. Cardiac catheterization: A procedure in which a thin tube is inserted into the blood vessels to measure pressure gradients and assess the severity of the stenosis.
  4. Magnetic Resonance Imaging (MRI): This imaging test can provide more detailed images of the heart and blood vessels.

It is important to consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan based on the specific symptoms and findings.