Hx
     Rheumatic fever
Sx
     Hemoptysis
     Other sx of pulmonary congestion
     High risk for developing atrial fibrillation due to left atrial dilation
          Palpitations and irregular heartbeats
          Thrombus formation and stroke
Risk factors
     Immigrant from a developed country increases liklihood of having rheumatic fever
PE
     Mid-diastolic opening-snap
     Late diastolic rumble
Pathophysiology
     Stenotic mitral valve causes an increase in the left atrial pressure, which in turn get transmitted to the pulmonary vascular bed. This increase in pulmonary vascular pressure causes pulmonary congestion that results in symptoms such as exertional dyspnea, nocturnal cough, and hemoptysis.

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The Compendium platform was created by David Kwinter, MD, CCFP(EM).