Q:

A man after MI presented with sudden breathlessness and dyspnea. Examination: scattered pansystolic murmur all over the precordium. What is the next investigation that will lead to diagnosis?

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A man after MI presented with sudden breathlessness and dyspnea. Examination: scattered pansystolic murmur all over the precordium. What is the next investigation that will lead to diagnosis?


  1. ECG
  2. Echo
  3. CT
  4. Blood culture
  5. CXR

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The key is B. echo. [Sudden breathlessness and dyspnea suggest mitral regurgitation secondary to papillary muscle rupture. D/D is VSD! However in either case required investigation is echo].

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