The most important sign of aortic stenosis in rheumatic heart disease

The most important sign of aortic stenosis in rheumatic heart disease: eWindy murmur in systolic second intercostal at the right sternal border.

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A systolic eruption murmur at the second intercostal junction of the right sternal border.

This hidden answer] :d

In patients with aortic stenosis, the first heart sound is normal, and if the aortic valve calcification is stiff, the second heart sound aortic valve component is weakened or absent; Hypertrophic left atrium contracts vigorously to produce a distinct fourth heart sound; a systolic ejection murmur may occur later after the first heart sound; In advanced stages, both systolic and pulse pressures decrease; X-rays show a normal cardiac shadow or mildly enlarged left ventricle. Therefore, it is not correct for the left ventricle to know the obvious dilatation.

Answer]: B Rheumatic heart disease aortic regurgitation is a common heart valve disease, due to the aortic valve insufficiency during diastolation, a blow-like early diastolic murmur with high pitch and decreasing loudness can be heard in the second auscultation area of the aortic valve area, so the main sign of patients with aortic valve insufficiency in rheumatic heart disease is the aortic valve area erection Zheng diastolic blowing fiber-like murmur.

a.The early diastolic increase in the 3rd intercostal space at the left sternal border is a lead-letting haze murmur.

b.Early decreasing chicogenic chiale in the 3rd intercostal space at the left sternal border.

c.Early ejective murmur in the 3rd intercostal diastole at the left sternal border.

d.A haw-like murmur in the 3rd intercostal systole at the left sternal border.

e.A mid-to-late diastolic murmur at the 3rd intercostal space at the right sternal border.

Zhengsun Bureau confirmed the answer: b

Answer]: B The common clinical "triad" of rheumatic heart disease is angina, syncope and heart failure, which is the latest view of the eighth edition of internal medicine. The seventh edition of internal medicine pointed out that the common clinical "triad" of aortic valve stenosis is dyspnea, angina pain, and syncope, so the original answer to this question is B.

Candidates' memory should be based on the views of the eighth edition of internal medicine.

Answer]: A simple mitral valve slip stenosis: X-ray shows enlargement of the left atrium and right ventricle, protrusion of the left atrial appendage, protrusion of the pulmonary artery segment, active opening of the paravascular node and left ventricle smallening, and the shape of the heart is pear-shaped.

When the degree of mitral stenosis is worsened in rheumatic basal or empty heart disease (a).The diastolic roller murmur at the apex is enhanced, and the second pulmonary valve tone is reduced.

b.Diastolic tumble murmur is decreased at the apex, and the second pulmonary valve sound is reduced.

c.The diastolic tubular murmur at the apex is reduced, and the second pulmonary valve sound is enhanced.

d.The diastolic cadella murmur at the apex is enhanced, and the second pulmonary valve sound is enhanced.

e.The apical systolic windy murmur and diastolic tumble murmur are enhanced.

Correct answer: d