Radiation To Left Axilla in Medicine / Internal Medicine — 58yo Man | Cardiology | SMLE Q#18661
SMLE Question #18661
Medicine / Internal Medicine
Cardiology
Objective: OBJ-VALV-001
Last updated: February 2026
A 58-year-old man is evaluated for 3 months of progressive exertional dyspnea and reduced exercise tolerance. Cardiac auscultation reveals a high-pitched, blowing holosystolic murmur maximal at the cardiac apex with radiation to the left axilla. A screening ECG shows left atrial enlargement. Which valvular diagnosis best explains these findings?
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