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Monday, May 11, 2009

Quiz 4:




This 45 year old man, comes with history of Dyspnoea on Exertion since 3 years, rapidly progressing since 1 month to Dyspnoea at rest since last 2 days. History of Orthopnoea and Paroxysmal Nocturnal Dyspnoea present.

On Examination, following signs were present as shown in pictures above.

CVS Examination-

BP in both upper limbs: 110/30mm Hg, and in both lower limbs 160/40mmHg (Hill’s sign Positive)

A short systolic murmur and an early diastolic murmur heard.

Diagnose the condition…..

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