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Mitral Stenosis

 Syn. Rheumatic MS , MS

Signs & Symptoms

 Dyspnea
Ref: Uptodate [ Clinical manifestations and diagnosis of rheumatic mitral stenosis] Cecil [ 81]
Exertional Dyspnea
Ref: Uptodate [ Clinical manifestations and diagnosis of rheumatic mitral stenosis] Cecil [ 81]
Fatigue
Ref: Uptodate [ Clinical manifestations and diagnosis of rheumatic mitral stenosis] Cecil [ 81]
Decreased exercise tolerance
Ref: Uptodate [ Clinical manifestations and diagnosis of rheumatic mitral stenosis]

Physical Examination

 Pinkish-purple patches on the cheeks
Ref: Uptodate [ Clinical manifestations and diagnosis of rheumatic mitral stenosis]
Opening snap
Ref: Uptodate [ Clinical manifestations and diagnosis of rheumatic mitral stenosis] Cecil [ 81]
Reduced arterial pulses volume
Ref: Uptodate [ Clinical manifestations and diagnosis of rheumatic mitral stenosis]

Lab / Serology

Imagin Study

 Restricted motion of the mitral leaflets
Ref: Cecil [ 81]
Straightened left heart border
Ref: Uptodate [ Clinical manifestations and diagnosis of rheumatic mitral stenosis]
Elevated left bronchus
Note: due to Left atrial enlargement
Ref: Uptodate [ Clinical manifestations and diagnosis of rheumatic mitral stenosis]

Complication

 Pulmonary infarction
Note: due to Pulmonary emboli
Ref: Harrison [ 1814]
Cerebral embolism Gr. elder
Note: due to Atrial fibrillation, due to AF
Ref: Uptodate [ Clinical manifestations and diagnosis of rheumatic mitral stenosis] Cecil [ 81]
Wave absence in JVP
Note: due to AF, due to Atrial fibrillation
Ref: Uptodate [ Clinical manifestations and diagnosis of rheumatic mitral stenosis]

Risk Factors

Cause

 Rheumatic fever
Ref: Harrison [ 1814]

Other