Question 298 · LEK · Aortic dissection
A 45-year-old man was transported to the hospital because of a strong chest pain not responding to nitrates. The pain radiates to the lumbar region. The patient has a history of poorly controlled arterial hypertension. Which of the following murmurs should be expected in this patient on auscultation?
- A. diastolic murmur over the second intercostal space at the left sternal border.
- B. systolic murmur over the second intercostal space at the left sternal border.
- C. diastolic murmur over the second intercostal space at the right sternal border.
- D. systolic murmur over the second intercostal space at the right sternal border.
- E. diastolic murmur over the cardiac apex.
Hint
First name the emergency, then think which valve it can make incompetent and where that murmur is best heard.
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