Consider the following scenario:
A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies.
•Review the scenario provided, as well as Chapter 24 in the Huether and McCance text. Consider how you would diagnose and prescribe treatment for the patient.
•Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenario.
Post on or before Day 3 a description of how you would diagnose and prescribe treatment for the patient in the scenario. Then explain how the factor you selected might impact the diagnosis and prescription of treatment for that patient.
Systolic Murmur Disorder Name Institutional Affiliation Systolic Murmur Disorder Cardiovascular diseases are the diseases of the circulatory system and are one of the leading causes of death worldwide. The most threatening heart disease being the coronary heart disease which is the leading cause of mortality in the US. Other heart disorders include stroke, aortic disease and the peripheral arterial disease (Lilly, 2012). Under special cases, abnormal heart murmurs may be accompanied with hypertrophic cardiomyopathy and heart disease resulting in heart attack and eventually death. Innocent heart murmurs as is mostly referred is common in children and is in most cases considered harmless. It is a condition where the heart produces whooshing, rasping or blowing sound during heart beats (Lilly, 2012)