Mitral regurgitation explains the soft S1 and holosystolic murmur loudest at the apex. Acute heart failure with pulmonary edema. In the context of a recent URI, this is most concerning for viral myocarditis. Rheumatic fever can also present with carditis, but in this case, the patient has otherwise recovered from other symptoms.
submitted by โbwdc(697)
Mitral regurgitation explains the soft S1 and holosystolic murmur loudest at the apex. Acute heart failure with pulmonary edema. In the context of a recent URI, this is most concerning for viral myocarditis. Rheumatic fever can also present with carditis, but in this case, the patient has otherwise recovered from other symptoms.