ABSTRACT

On auscultation he has some rhonchi at the right lower base and a harsh ejection systolic murmur loudest at the left sternal edge in the second intercostal space.

Blood Results Awaited Arterial blood gas FiO2 0.21 pH 7.32 pCO2 5.1 kPa pO2 9.5 kPa HCO3 23 BE 1.2 Hb 9.8 g/dL

ECG

Echocardiogram LA: dilated LV: thickened RA: normal size and function RV: normal size and function Aortic valve: thickened and calcified Valve area: 1.7 cm2

Peak gradient: 27 mmHg Mitral valve: minimal mitral regurgitation Tricuspid valve/Pulmonary valve: normal Ejection fraction: 70%

Lateral C spine XR: current See Figure 9.2.