USMLE Step 3 - most likely diagnosis ?
most likely diagnosis ?
yehia1982 - 10-25-08 07:33
During a checkup at 6 weeks of age, an infant whose examination was normal in the nursery is found to have a harsh, widely transmitted, grade 4 holosystolic murmur over the left parasternal area. The infant appears well and there is NO cyanosis. Which one of the following is the most likely diagnosis ?
a. ventricular septal defect
b. tetralogy of Fallot
c. transposition of the great vessels
d. tricuspid atresia with a hypoplastic right ventricle
e. severe pulmonary stenosis
yehia1982 - 10-25-08 07:33
During a checkup at 6 weeks of age, an infant whose examination was normal in the nursery is found to have a harsh, widely transmitted, grade 4 holosystolic murmur over the left parasternal area. The infant appears well and there is NO cyanosis. Which one of the following is the most likely diagnosis ?
a. ventricular septal defect
b. tetralogy of Fallot
c. transposition of the great vessels
d. tricuspid atresia with a hypoplastic right ventricle
e. severe pulmonary stenosis
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#2
Re: most likely diagnosis ? sackatdoc - 10-25-08 10:13 correct VSD is the most common non cyanotic congenital heard disease causing holosystolic murmur
also to remember better all T's cause cyanosis mentioned here
#3
Re: most likely diagnosis ? doctor1 - 11-03-08 12:23 vsd as its one of the vry few congeintal heart defects well tolaearatted initially without cyanosis
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