Sandbox MC

Disease	History	Symptoms	Physical examination	Cardiac murmur	ECG	CXR	Echocardiography	Cardiac catheterization
Aortic valve stenosis		Exertional chest pain Dyspnea on exertion Exertional syncope/pre-syncope	Narrow pulse pressure Normal to anacrotic carotid pulse (parvus et tardus) S1 usually normal A systolic ejection click may be audible afer S1 Single S2 If severe: paradoxical splitting of S2 S4 may be audible
Aortic valve sclerosis without stenosis
Supvalvular stenosis
Supravalvular stenosis
Hypertrophic obstructive cardiomyopathy