CARDIOLOGY
EISENMENGER S SYNDROME
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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yo F, lacrosse player. 2 months of chest pain during activity. Episodes of pain last 3-5 minutes and have been associated with palpitations and pre-syncope. MURMUR:Soft 2/6 systolic ejection murmur at lower left sternal border. Normal EKG. Of the following, the MOST appropriate next step in evaluation of this teenager is to:
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Order magnetic resonance imaging of the brain with contrast
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Order serum C-reactive protein and white blood cell count with differential
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Order tilt-table testing
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Reassure her and her family that are no further testing is needed
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Restrict her from exercise pending evaluation by a cardiologist
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Explanation:
Detailed explanation-1: -Angina. Angina is a condition where the blood supply to the muscles of the heart is restricted. Chest pain caused by angina is usually triggered by physical activity (exertion). It usually gets better with rest after a few minutes.
Detailed explanation-2: -Angina chest pain, called an angina event, can happen when your heart is working hard. It can go away when you stop to rest again, or it can happen at rest. This pain can feel like pressure or squeezing in your chest. It also can spread to your shoulders, arms, neck, jaw, or back, just like a heart attack.
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