1.

Tricuspid regurge (do general and CVS exam)

*ddx pansystolic murmur

2) CVS aortic stenosis hampeh x dengorrrr..huhu..thn dato zaki focus more on this
patient pulmonary, aortic and CAROTID area..hooooo.dgr2..hurm..AS la kot =D
after present the findings..wut are the causes of this kind of murmur? Igt die tnye
cause of AS..pastu die tnye more common in elderly? hentam aortic sclerosis..itu
rupenye die nk dgr..kuikui..

1) Med -- ejection sytolic murmur radiate to the carotid.. Yg paling besh ak jujur tk
dgr pape..tp after dguide itu la jawapannye..dx then how to confirm..

SHORT CASE 1) MEDICINE : CVS --> midline sternotomy scar n multiple bruises over
leg, macam ada PSM @tricuspid tp xsure sgt..diorg kate pts ni ada valve
replacement-_-"

case 2: mitral regurgitation.ECG finding?TAK TAU, kawan cakap p mitrale and some
other stuff.

2. Medicine: Aortic regurgitation + cardiomegaly

(lelaki mude, gelap, rambut pacak2 mcm punk skek.. rambut separoh kaler laen
sepraoh laen.. nengok je memang da tau dier lah orang y ade AR tu...)

3. Medicine: RHD - ada multiple murmur, most probably rheumatic heart disease

1. Medicine: MR
Murmur at psm at mitral. Prof hamed tye ape yg menyebabkn bounding brachial
pulse

2. Medicine: Eisenmenger syndrome with VSD

malay guy, VSD with eisenmenger syndrome. buat running commentary, ad
Clubbing + peripheries n central cyanosis + psm at LLSE with thrills n heave. Dr
nyunt2 sgt smgt n supportive <3

3. Medicine: Murmur
Dr tnya do you heard anything at LLSE (which i cannot appreciate any
murmur..huhu)
I do FULL CVS examination (finding jmpe pallor of conjunctiva and arcus senile).. i
think i just got marks for showmanship je kot huhu..ad ke??
I do check for JVP, but it is not raised.. Q from dr: where do you look for JVP??
between two head of sternocleidomastoid muscle up to tip of mandible
Apex beat also cannot be appreciated Q: causes??- hyperinfalted lung, dextrocardia,
displaced apex beat: causes of displaced apex beat??cardiomegaly..

2. Medicine: MR
old man, psm radiate to axilla with soft s1, apex bear HARDLY palpable. acynotic no
clubbing,pink, has MR, funtionally not in failure. what are the causes...what is the
most likely in this pt-post MI.

1. Medicine: MR - grade 3 pansystolic murmur at LLSE

d/dx: TR, rupture of ventricular septum, VSD (walaupn cm x confident yg ni)
other causes of pansystolic murmur?
d/dx: MR, mitral valve prolapse

3. Medicine: MR CVS findings of PSM best heard at apex radiate to axilla

accentuated by expiration, MDM best heard at apex grade 4/6 on left lateral position
with atrial fibrillation. Soft S1,loud S2. displaced apex beat with parasternal heaves.
What cause MR?(IHD, RHD, IE,mitral valve prolapse).

Tips : Cam long kes kta ni mmg la ayah dia bawak buku2 thalassemia n few
documents tp xsempat kot nk tgk btol..So confident je clerk parents..Kalo parents
xtaw br la crik dlm bukuTak sempat kot nk belek2 sume..All da best eaEven dpt
lecturer sape, kes apa pn jgn psychoAllah tu Maha Mengetahui apa yg terbaik
ntuk kta..

2. Medicine: VSD
En maung, VSD & TR ke? ni xbape sure, ckp je maybe MR/TR/VSD huuu (displaced
apex beat & parasternal heave)

1. Medicine: MR
diff JVP dgn carotid pulsation
causes MR
1. Medicine: TR
Pansystolic murmur... Provisional Dx: TR. Other: MR and SVD