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What is the ML cause of the sx™s in a CF college freshman of less than 5th percentile for H and W, with SOB and ankle adema for 2 days who has temp 37, BP130/80, P 82, labored R 25, mild perioral cyanosis, jugular venous distention, bilateral pitting ankle edema, mild RUQ tenderness, increased S2, normal S1?
1. Portal hypertension
2. Reduced LV eject. Fraction
3. Decreased sys art. Pressure
4. Increased plasma colloid oncotic press
5. Increased pulmonary vas. Resistance
6. Reduced RV pressure
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Increased S2 signifies what, please mention?
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5 seems the better choice......as djyoti told.
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well this the presentation of pulmonary hypertesion and beginning of right sided hear failure,so I choose # 5..
correct me if im wrong
thx
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The best choice that what you meant!
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djyoti could you explain why 5 is the ans., by the waY WHAT IS ML.
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if u heard loud S 2 in th epulmonary area it`s significant of pulmonary hypertension
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- in cystic fibrosis the obstruction ocur for forward flow/plumonary pressure is a low pressure belt but when there is back flow it becomes a high pressure belt so that there will be increase vascular resistense. when they have to work harder they become thickened also and when thicken as such resistance become higher-----pressure become higher--vicious--pressure --resistense---pressure
hope breeder it may help
