Chronic obstructive pulmonary disease

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Reference no: EM133867088

Question

62 year old male with chronic obstructive pulmonary disease (COPD) and hypertension presents with worsening shortness of breath with exertion. He is afebrile and normotensive with normal heart rate. On exam his heart sounds are notable for a holosystolic murmur that is best heard at the right second intercostal space. A chest x-ray reveals enlarged heart. Which of the following diagnoses is most likely? Infective Endocarditis Atypical Pneumonia Aortic Stenosis Mitral Regurgitation.

Reference no: EM133867088

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