A 52 year old man came to me for a routine preventive health exam. I heard a 2/6 holosystolic murmur best heard at the right sternal border. He has no previous history of a murmur so I ordered an echocardiogram. A week later I got the report that the test showed trivial mitral regurgitation and mild tricuspid regurgitation. What should I do?
Examine the online consultation question above. Which of the following components of a well-focused question does it contain?
A patient has sent me a Newsweek article about the use of ultrafast (electron beam) CT for evaluation of CAD at early stages. In the article it is touted as being much more reliable at predicting risk than the cholesterol test. Is there any information about this new technology?
Examine
the online consultation question above. Which of the following components of
a well-focused question does it contain?
I
have a 68 year old woman with diastolic dysfunction. She had been complaining
of DOE for the past year. She had trace edema but clear lungs, and no gallop.
Due to the concern about CHF an echo was obtained and this showed a high EF
consistent with diastolic function. No evidence of valvular heart disease
or hypokenisis. I placed the pt on verapamil starting at 120 mg a day and
have titrated this up to 240 mg. So far there has been little change.
Which of the following questions regarding this case is the most well-focused?
Example 4
I
have a 50 year old patient with CAD, s/p stenting of circumflex artery 2 years
ago, asymptomatic since then, newly diagnosed with DM. Only medications now
are metformin and ASA. Pt has had erectile dysfunction for some time and is
very interested in trying Viagra.
Example 5
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