Welcome. My name is Devine. This is episode 486 of the Devine Intervention Podcast.

Into this podcast we're going to be contained in the rapid review series for the USMIL is Step 2,

CK and Step 3 exams.

There's going to be Series 103.

Let's get right to it.

What if they give you a question about a 79 year old female?

They tell you that she's brought to the office

because she recently passed out.

And you're told that she has this ejection murmur at the right upper external border.

Then you're told what is the next best step in in diagnosis.

Obviously without thinking too hard about this, sounds like this person has a eartic stellosis.

And you may be like divine, you just say the person has an injection mammer.

It even tell us if it was

stoic or stoic what's going on here well the thing is this question

give you too many patterns to make you it doesn't seem very wise to neglect the

Euryxenosis. First it's an old person.

You said the person had a syncopale episode.

Your externosis classically on the US-MELES when it causes

symptoms, it's usually going to be syncopoe or gonna be anginal symptoms. So

we see the person is really old. You see a really old person with like an

injection murmur? It's probably going to be a eartic stenosis, right? And we know that a eartic stenosis

again it's a systolic ejection murmur and typically we're going to hear it in the right

...