Snapshot A 57-year-old man presents to the emergency department complaining of severe chest pain and difficulty breathing. His exam reveals a weak, delayed carotid upstroke and a parodoxically-spliting S2. Introduction The leading cause of valvular heart disease in the United States is login to view 1 more bullet In the developing world login to view 1 more bullet Types login to view 4 more bullets Aortic Stenosis See topic Aortic Regurgitation May appear acutely or as a chronic condition login to view 5 more bullets Symptoms/Physical exam login to view 14 more bullets Evaluation login to view 3 more bullets Differential Diagnosis login to view 1 more bullet Treatment login to view 3 more bullets Prevention, Prognosis, and Complications login to view 1 more bullet Mitral Valve Stenosis Most common etiology continues to be rheumatic fever Symptoms/Physical exam login to view 10 more bullets Evaluation login to view 2 more bullets Differential Diagnosis login to view 1 more bullet Treatment login to view 6 more bullets Prevention, Prognosis, and Complications login to view 1 more bullet Mitral Valve Regurgitation Two major causes include login to view 2 more bullets Symptoms/Physical exam login to view 6 more bullets Evaluation login to view 4 more bullets Differential Diagnosis login to view 1 more bullet Treatment login to view 3 more bullets Prevention, Prognosis, and Complications login to view 1 more bullet Cardiac Auscultation in Valvular Disease Aortic Stenosis login to view 1 more bullet Mitral Regurgitation login to view 1 more bullet Tricuspid Regurgitation login to view 1 more bullet Mitral Prolapse login to view 2 more bullets Aortic Regurgitation login to view 1 more bullet Mitral Stenosis login to view 1 more bullet Medical management as above Surgical management login to view 6 more bullets