Loading....
Coupon Accepted Successfully!

Medicine

Open Flashcards

Respiratory

Question
2 out of 3
 

Murmur seen in cor pulmonale? (AIIMS May 2010)



A MR

B AR

C TR

D MS

Ans. C

TR

Clinical features

1). Symptoms include dyspnea, fatigue, or syncope.

2). Signs: cyanosis, tachycardia; raised JVP with prominent v wave; RV heave; loud P2

3). pansystolic murmur (tricuspid regurgitation); early diastolic Graham Steel murmur, hepatomegaly and edema.

4). Investigations: Increase Hb and hematocrit (secondary polycythemia) Q.

5). CXR: enlarged right atrium and ventricle, prominent pulmonary arteries.

6). ECG: P pulmonale; right axis deviation; right ventricular hypertrophy/strain.

Extra Edge: Cor pulmonale is the commonest cause of tricuspid regurgitation Q.