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Medicine General 4f2068ff

A 35 year old athlete has height 184 cm., arm span 194 cm., pulse rate 64/min., BP 148/64 mm Hg. Chest auscultation reveals long diastolic murmur over right 2nd intercostal space on routine examination. The probable diagnosis is :

A
Aoic regurgitation
B
Atrial septal defect
C
Ebstein anomaly
D
Coarctation of aoa
High-Yield Explanation
Answer is A (A.R.): Arm span greater than height is suggestive of Marfan's syndrome. Aoic regurgitation (A.R.) is a feature associated with Marfans as well as consistent with a diastolic murmur is second right intercostal space.

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