Mitral Stenosis

Question 1

Signs

Answer 1

AF
Malar flush
Mitral valvulotomy scar
Tapping undisplaced apex beat
Loud first HS
Opening snap, mid diastolic rumble at apex
Best heard L lateral

Question 2

Causes

Answer 2

Rheumatic fever
SLE
Rheumatoid
Carcinoid syndrome
Congenital

Question 3

Differential mid diastolic rumble

Answer 3

Severe MR
L atrial mass
L atrial thrombus

Question 4

Signs of severity

Answer 4

Narrow pulse pressure
Pulmonary regurg
Early opening snap
Increasing length of murmur
Pulm HTn
Pulm congestion