*A nurse practitioner is performing a sport physical on a 15…
*A nurse practitioner is performing a sport physical on a 15 y/o male planning to play football. He has no past medical history of problems. During the exam while the NP is auscultating his heart while he is leaning forward, she notes a murmur between the apex and the left lateral sternal boarder. She has him perform the Valsalva maneuver and the murmur continues. She then has him squat and then stand, when standing the murmur becomes louder. The NP suspects which of the following?
Read DetailsYou are reviewing the chart of Mr. Janssen, a 65 year…
You are reviewing the chart of Mr. Janssen, a 65 year old man. At his last visit, he complained of chest pain and shortness of air, occurring when he would walk fairly long distances. They resolved with rest. Today, he reports the episodes are still occuring, but have changed, as they are sometimes associated with nausea and vomiting. He is still able to relieve the symptoms with rest, however. With this new information, you believe that his diagnosis is likely:
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