A 40 yo man is admitted with lobar pneumonia. He develops new atrial fibrillation with rapid ventricular response; becomes hypotensive and increasingly dyspnoeic.
Can you make the diagnosis?
#MedEd
#MedTwitter
#FOAMED
3
6
35
Replies
@LITFLblog
Severe rheumatic mitral stenosis with acute decompensated heart failure due to pneumonia and atrial fibrillation.
In mitral stenosis the anterior leaflet of the mitral valve loses its mobility and is described and having a “hockey stick” appearance.
0
0
1
