RT Book, Section
A1 Murtagh, John
SR Print(0)
ID 1124556664
T1 Feverish problems
T2 Cautionary Tales: Authentic Case Histories from Medical Practice, 2e
YR 2016
FD 2016
PB The McGraw-Hill companies
PP Sydney, Australia
SN 9780070285408
LK murtagh.mhmedical.com/content.aspx?aid=1124556664
RD 2024/04/19
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!).