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Mrs.
Leach arrives at your practice accompanied by her daughter who tells you
her mother has moved in to live with her following the recent death of
her father. She requests that you give her a medical check. Mrs. Leach
has no complaints except that she hasn’t been as lively since her
husband died of a stroke at aged 83. She herself is now 74. She last saw
a doctor 15 months ago and was told her BP was OK for her age. On questioning
she denies any significant past or family history.
Examination
reveals the following cardiovascular findings:
- Supine
blood pressure - 180/80
- Ejection
systolic murmur in the aortic area
- Systolic
bruit over the L. carotid
- Diminished
pulses in both legs
(dorsalis pedis and post tibial arteries)
No
other significant findings.
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