This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Miguel Zabalgoitia-Reyes, MD; David J. Mehlman, MD; James V. Talano, MD

Arch Intern Med. 1985;145(2):327-328.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A 25-year-old woman was admitted to the hospital for suspected infective endocarditis. Nine days prior to the admission she had the onset of fever, shaking chills, diaphoresis, extreme fatigue, and anorexia. A congenital bicuspid aortic valve with mild aortic insufficiency had been documented by cardiac catheterization at 6 years of age. On admission, her abnormal physical findings were a BP of 120/40 mm Hg, a pulse rate of 92 beats per minute, and a temperature of 39.17 °C. The upstroke and volume of peripheral pulses were increased. The cardiac impulse was in the fifth left intercostal space at the midclavicular line. S₁ was normal and S₁ was increased in intensity. A grade 2/6 systolic ejection murmur was heard at the base. A grade 3/6 early diastolic decrescendo murmur was best heard at the fourth left lower sternal border and radiated to the apex. An ECG and a chest . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Medicine, Section of Cardiology, Cardiology Graphics Laboratory, Northwestern University Medical School, Chicago.

Footnotes
Accepted for publication May 11, 1984.

Reprint requests to Department of Medicine, Northwestern Memorial Hospital, Wesley Pavilion, Suite 586, Superior and Fairbanks Court, Chicago, IL 60611 (Dr Talano).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?