Pulmonary regurgitation: The Daily PANCE Blueprint

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Pulmonary regurgitation: The Daily PANCE Blueprint

A 55-year-old male comes to the clinic for a routine physical exam. His vitals are unremarkable. He has no complaints. On physical exam, you appreciate a blowing diastolic murmur located at the left second intercostal space that increases with inspiration. Which of the following is the most likely diagnosis?

A. Aortic stenosis
B. Pulmonic stenosis
C. Pulmonic regurgitation
D. Aortic regurgitation
E. Tricuspid stenosis

Answer and topic summary

The answer is C. Pulmonic regurgitation

Pulmonic regurgitation is a diastolic murmur located at the LEFT 2nd ICS. It increases with inspiration. It is often described as high-pitched and blowing. Causes include iatrogenic (MCC), infectious, immune-mediated, systemic (carcinoid), due to PAH, or congenital. Management depends on severity (i.e., monitoring for asymptomatic patients, valve replacement for symptomatic patients OR for asymptomatic patients with severe RV failure and reduced RV systolic function).

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Cardiology ⇒ Valvular Disorders ⇒ Pulmonary regurgitation

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