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Case Study #2 - Anyone Who Had a Heart

Part V—Brianna: Follow-up

1. What are the possible diagnoses for Brianna’s condition at this time? For each diagnosis that you
come up with, describe the signs or symptoms that relate to that diagnosis. Try to think
logically—sometimes the line of reasoning and the correct questions are more important than the
answer.

Since the ECG ruled that the valves are normal, I believe that the diagnosis is a Ventricular Septal
Defect. In a VSD, there is a hole in the wall between the left and right ventricles of the heart. Since this
hole is there, the symptoms include heavy breathing, shortness of breath, paleness and fast heart
rate.

2. Does a heart murmur necessarily indicate a dysfunctional valve? What other defects could produce
the murmur heard through the stethoscope?

No, a dysfunctional valve is not always the answer. A hole in the heart could also cause a murmur
found by listening through the stethoscope.

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