RT Book, Section
A1 Murtagh AO, John
A1 Bird, Sara
SR Print(0)
ID 1163949876
T1 Feverish problems
T2 Murtagh's Cautionary Tales, 3rd Edition
YR 2019
FD 2019
PB McGraw-Hill Education (Australia) Pty Ltd
PP Sydney, Australia
SN 9781743767443
LK murtagh.mhmedical.com/content.aspx?aid=1163949876
RD 2024/09/07
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!).