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Swishing Sound In The Heart On Examination. Always Has Severe Sore Throat, Swollen Glands, Red Rashes On Skin. What Could It Be?
I am trying to answer questions for Anatomy Final. One of the questions is.
I am a pediatricion volunteering at a low-income health clinic. a young mother has brought her 10 year od son to be examined as she is concerned about his vision. I determine that his vision is normal but complete a physical exam anyway. When listening to his heart there is an unusual "swishing" sound. I continue to gather information from the mother and learn that he had to repeat the first grade because he missed so much school with various illnesses. It seemed as though he always had a severe sore throat, swollen glands, and even a red rash on the skin. What should I suspect is causing his symptoms?
I am a pediatricion volunteering at a low-income health clinic. a young mother has brought her 10 year od son to be examined as she is concerned about his vision. I determine that his vision is normal but complete a physical exam anyway. When listening to his heart there is an unusual "swishing" sound. I continue to gather information from the mother and learn that he had to repeat the first grade because he missed so much school with various illnesses. It seemed as though he always had a severe sore throat, swollen glands, and even a red rash on the skin. What should I suspect is causing his symptoms?
Wed, 22 May 2013
The most likely answer, my dear colleague, is that the patient has a congenital heart disease, though the symptoms you have described are reminiscent of rheumatic heart disease, viral myocarditis, Kawasaki's disease, and so many other conditions.
I think she may be having a murmur such as that of a wall defect inside the heart or an abnormal duct between the large blood vessels like the aorta and the main pulmonary artery. Such defects are often small and do not cause active trouble.
Dr. Taher
I think she may be having a murmur such as that of a wall defect inside the heart or an abnormal duct between the large blood vessels like the aorta and the main pulmonary artery. Such defects are often small and do not cause active trouble.
Dr. Taher
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