23rd July 2020

You are an F2 working on your GP rotation. An 82-year-old lady comes to see you with generalised fatigue over the last few weeks and increasing breathlessness on exertion

You are an F2 working on your GP rotation. An 82-year-old lady comes to see you with generalised fatigue over the last few weeks and increasing breathlessness on exertion. You conduct a cardiovascular examination and hear a soft S1 as well as a faint diastolic murmur. Her heart rate is 78, respiratory rate 20 and blood pressure 138/48.  What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.