Case Study #2 Cardiology: Due Date Fri 05/25/22-Noon Chief Complaint: 74-year-old woman with shortness of breath and swelling. History: Martha Wilmington, a 74-year-old woman with a history of rheumatic fever while in her twenties, presented to her physician with complaints of increasing shortne of breath ("dyspnea") upon exertion. She also noted that the typical swelling she's had in her ankles for years has started to get worse over the past two months, making it especially difficult to get her shoes on toward the end of the day. In the past week, she had a decreased appetite, some nausea and vomiting, and tenderness in the right upper quadrant of the abdomen. On physical examination, Martha's jugular veins were noticeably distended. Auscultatic of the heart revealed a low-pitched, rumbling systolic murmur, heard best over the left upper sternal border. In addition, she had an extra, "S3" heart sound. Questions: 1. What is causing this murmur? 2. What is causing her "S3" heart sound?

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
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Case Study #2 Cardiology: Due Date Fri 05/25/22-Noon
Chief Complaint: 74-year-old woman with shortness of breath and swelling.
History: Martha Wilmington, a 74-year-old woman with a history of rheumatic fever
while in her twenties, presented to her physician with complaints of increasing shortness
of breath ("dyspnea") upon exertion. She also noted that the typical swelling she's had
in her ankles for years has started to get worse over the past two months, making it
especially difficult to get her shoes on toward the end of the day. In the past week, she's
had a decreased appetite, some nausea and vomiting, and tenderness in the right
upper quadrant of the abdomen.
On physical examination, Martha's jugular veins were noticeably distended. Auscultation
of the heart revealed a low-pitched, rumbling systolic murmur, heard best over the left
upper sternal border. In addition, she had an extra, "S3" heart sound.
Questions:
1. What is causing this murmur?
2. What is causing her "S3" heart sound?
MAY
25
NJO tv
Heart murmurs -...
Q
ch
C Citing a
Transcribed Image Text:moodle.o... moodle.oakland.edu c C Sign In or Sign U... Th BIO2600-32166.... Untitled Untitled Untitled Case Study #2 Cardiology: Due Date Fri 05/25/22-Noon Chief Complaint: 74-year-old woman with shortness of breath and swelling. History: Martha Wilmington, a 74-year-old woman with a history of rheumatic fever while in her twenties, presented to her physician with complaints of increasing shortness of breath ("dyspnea") upon exertion. She also noted that the typical swelling she's had in her ankles for years has started to get worse over the past two months, making it especially difficult to get her shoes on toward the end of the day. In the past week, she's had a decreased appetite, some nausea and vomiting, and tenderness in the right upper quadrant of the abdomen. On physical examination, Martha's jugular veins were noticeably distended. Auscultation of the heart revealed a low-pitched, rumbling systolic murmur, heard best over the left upper sternal border. In addition, she had an extra, "S3" heart sound. Questions: 1. What is causing this murmur? 2. What is causing her "S3" heart sound? MAY 25 NJO tv Heart murmurs -... Q ch C Citing a
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