TY - CHAP M1 - Book, Section TI - Feverish problems A1 - Murtagh AO, John A1 - Bird, Sara PY - 2019 T2 - Murtagh's Cautionary Tales, 3rd Edition AB - Nancy, a 58-year-old farmer, presented with a 12-month history of exertional dyspnoea and angina. When she subsequently presented with episodes of dizziness, a classic triad came to mind. Dizziness/syncope + angina + exertional dyspnoea → aortic stenosis (of course this constellation of symptoms can occur with anaemia). On auscultation there was the harsh crescendo–decrescendo systolic ejection murmur of aortic stenosis that would remind me of a steam train chuffing uphill or distant barking of a dog (strange associations from student days!). SN - PB - McGraw-Hill Education (Australia) Pty Ltd CY - Sydney, Australia Y2 - 2024/11/08 UR - murtagh.mhmedical.com/content.aspx?aid=1163949876 ER -