LISTEN WITH HEADPHONES. Recording made with a Thinklabs One Digital Stethoscope. Congenital Pulmonic Stenosis, recorded at LUSB and mild by Echo with peak gradient 21mmHg. There is an extra sound early in systole that sound like a "split" S1, but it goes away on inspiration and reappears on expiration, best heard in the pulmonic area; there is no notable systolic murmur. The typical benign splitting of S1, and S2, tends to vary with respiration rather than suddenly disappearing and reappearing. In this case the recognition of the ejection sound would be the only clue to PS on physical examination.
Contributor: Terry Bauch, MD, Geisinger Medical Center
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Негізгі бет Pulmonic Stenosis- mild
Пікірлер: 1