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Dharmik Patel General Medicine

Oct 10, 2017870 views

A 31-year-old man presents to clinic for the first time for a routine physical examination. He denies any complaints. The patient gives a history of a sore throat and fever following it. On oral examination, an abnormality that was present is shown in the following video. On auscultation, the only abnormality is a systolic murmur best heard over the second right intercostal space and an early diastolic murmur best heard over the third left sternal border. LVEF is 55% to 60% with mild LVH. Left ventricular end-systolic diameter is 45 mm and aortic root diameter is 3.5 cm.

video: https://drive.google.com/file/d/0Bzzd2xV2HpjIUUIyRG1oLTNFd3c/view?usp=sharing

What is the most likely diagnosis and appropriate management?

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Dr. A●●●l N●●●●l Internal Medicine

Video link not working

Oct 10, 2017Like1

D●●●●●k P●●●l General Medicine

I just checked it again , its working fine

Oct 11, 2017Like