Question

Breathing difficulty with generalized weakness. On auscultation a mid diastolic murmur with prominent wave is seen in

• A. TS
• B. MS
• C. MR
• D. TR

Answer 1

The Correct Option is A

In the context of a patient with breathing difficulty and generalized weakness, the presence of a mid-diastolic murmur is a key auscultation finding. This can help in diagnosing the underlying cardiac condition. Let's evaluate the options:

• TS (Tricuspid Stenosis): In TS, blood flow from the right atrium to the right ventricle is obstructed during diastole, leading to a mid-diastolic murmur. Additionally, signs such as a prominent 'a' wave in the jugular venous pulse may be seen, consistent with what is described.
• MS (Mitral Stenosis): MS also presents a mid-diastolic murmur, but it is typically associated with pulmonary edema and left-sided heart failure symptoms, not generalized weakness. Although similar, the context and side of the heart affected differ. No prominent wave in MS specifically matches the description.
• MR (Mitral Regurgitation): MR is characterized by a holosystolic murmur, not mid-diastolic. This option doesn't match the auscultation findings described.
• TR (Tricuspid Regurgitation): TR presents with a holosystolic murmur, often accompanied by a pulsatile liver and prominent jugular venous waveforms, but not a mid-diastolic murmur.

Based on the findings, Tricuspid Stenosis (TS) matching the description of a mid-diastolic murmur with a prominent wave is the correct answer.