Snakebite and a Heart Murmur

Snakebite and a heart murmur.

Endophthalmitis and a Heart Murmur.

A 48-year-old man, a heavy smoker and drinker, came to the emergency department complaining of pain, redness, and vision loss in his left eye (Figure A). Physical examination revealed a body temperature of 38.7 8C and hyperemic left conjunctiva. His oral hygiene was clearly poor and he was missing a number of teeth. Auscultation disclosed the presence of a systolic murmur at the left sternal bo...

Heart Murmur in a Child

Cardiac murmur is frequently recognized in healthy children, but it can also be the presenting feature in many forms of congenital heart disease, including regurgitation or stenosis of heart valves or left-to-right shunt lesions at the atrial, ventricular, or great arterial levels. Careful examination reveals innocent systolic murmurs in as many as 72% of all school-age children [1]. A high pre...

Twin pregnancy, dyspnea, cyanosis, and a heart murmur.

Fatigue in a Woman With a Heart Murmur

HISTORY The patient had rheumatic fever at age 10 and has had a loud heart murmur ever since. She had no cardiac complications during her 3 pregnancies. Prophylactic antibiotic and warfarin therapy have been effective; she has never had endocarditis, thromboembolism, or bleeding. She has had yearly examinations, including echocardiograms that have always shown her heart function to be "better t...