Dr.N.Idhayachandran.Prof.Dr.S.SUNDAR.

M 2 UNIT.

A 20 year old male patient was admitted with the complaints of palpitation and exertional breathlessness.

O/E conscious,oriented,afebrile,comfortable at rest,not pale,not icteric,no cyanosis,no clubbing,no pedal edema.

PR-64/min.BP-100/70 mm Hg.

CVS-Apical impulse left 5 th intercostal space medial to the midclavicular line.

Systolic thrill felt with maximum intensity over the left parasternal area.

No palpable P2 or parasternal heave.On auscultation pansystolic murmur heard

with maximum intensity over the left parasternal area.grade 5/6.conducted to other areas.P2 not loud.no other murmurs heard.

Examination of other systems-normal.

ECGPulse-64/min.Sinus rhythm.PR interval 130 ms.QRS duration 80 ms.Right axis deviation 120 degree.P wave morphology normal.Right ventricular hypertrophy.

ECHO-PARASTERNAL LONG AXIS VIEW

MR.BALARAMAN_DCRV_20101229163030_1829440.avi

MR.BALARAMAN_DCRV_20101229163030_1830130.avi

APICAL FOUR CHAMBER VIEW

MR.BALARAMAN_DCRV_20101229163030_1842410.avi

DIAGNOSISVentricular septal defect.Double chambered right ventricle.

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