A 21 yr old male Presents to the ER with slurred speech and right hemiparesis. On ausculataion, a systolic murmur at the pulmonic region and a diastolic rumble along the left sternal border is heard. S2 is split and fixed. What is the cause of these symptoms?
I don’t know the answer looking forward tosee commmets to gain some knowledge
The fixed, wide split S₂ alongside a systolic ejection murmur and a diastolic rumble points strongly toward Atrial Septal Defect (ASD). The neurological symptoms slurred speech and right-sided weakness in a young patient likely result from a paradoxical embolism, where a clot travels through the septal defect into the arterial circulation and reaches the brain.
I think ASD
I don’t know about this
No idea about this but looking for the answer in the comments.
my answer is ASD.
Absolutely correct!
Correct!
That’s right!
The answer is ASD. Symptoms such as slurred speech and hemiparesis are likely due to a paradoxical embolus leading to acute embolic stroke. The embolus is paradoxical as a venous thrombus usually from the legs or pelvic region pass to the central circulation through a septal defect, mostly an ASD can sometimes be a VSD. A mid systolic murmur in ASD is due to increased flow across the pulmonic valve.
A diastolic rumble is due to increased flow across the tricuspid valve.
not have any idea about this