September 4, 2023 : Share Your Worries With Others
© 安岡喜晴 (JoyShine)
I was wondering if a patient with a history of complete transposition of the great arteries and a recent onset of a heart murmur needs a referral to a specialized hospital for detailed examination?
This is highly associated with ventricular septal defect, and the auscultation shows a systolic ejection murmur and this finding strongly suggests the presence of ventricular septal defect,
but in this case the murmur appeared recently, so I thought there was a possibility that it could be a case of adult tricuspid regurgitation,
but if this is the case, it must be characterized by a regurgitant murmur, but it is sometimes hard to distinguish between them, so finally I went to get another doctor's opinion.
"Share your worries with others" is my principle.