WhatsDx.today
Hard Wednesday, Sep 9 Cardiology
đŸ‘Ĩ 43 Clinical Minds solved this

Opening Snap

42F has progressive exertional dyspnea and occasional hemoptysis. Auscultation reveals a loud S1 followed by an opening snap and low-pitched diastolic murmur at the apex. This is a teaching case selected for the September 2026 daily challenge.
VITALS: BP 124/76

❓ What is the most likely diagnosis?

💡

Clinical Analysis

Diagnosis: Mitral stenosis
Key Insight

An opening snap followed by a low-pitched mid-diastolic apical murmur is classic mitral stenosis, commonly rheumatic in young adults. The diagnosis should be made from the overall clinical pattern rather than a single isolated clue.

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Right Upper Quadrant Pain
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Sudden Collapse with Palpitations
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Crushing Chest Pain
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Exertional Chest Pain
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Pica with Spoon Nails
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Sudden Hearing Loss with Vertigo
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Sudden Vision Loss with Pain
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Persistent Hoarseness
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Resting Tremor
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Chronic Bloody Diarrhea
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Postpartum Bleeding
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Severe Anemia with Glossitis
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Stooped Posture and Tremor
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Burning Micturition with Fever
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Fever with Pancytopenia
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Sudden Scrotal Pain
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Recurrent Oral Ulcers
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Sudden Severe Headache
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Recurrent Chest Infections
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Painless Hematuria
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Chronic Fatty Diarrhea
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Sudden Painless Vision Loss
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Sudden Rigid Abdomen
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Blue Spells in Toddler
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Progressive Dysphagia
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Sudden Breathlessness After Travel
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Pica and Spoon Nails
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Sudden Unconscious Collapse
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Painful Oral and Genital Ulcers
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Severe Bleeding After Delivery
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Warm Shock After Infection
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Wrist Drop
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Dark Urine After Infection
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Acute Testicular Pain
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Resting Tremor and Stooped Posture
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Chronic Diarrhea After Antibiotics
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Elderly Man with Bone Pain and Fractures
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Confusion and Ataxia in Alcoholic
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Young Female with Butterfly Rash
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Bloody Diarrhea with Weight Loss
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Sudden Severe Headache
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Dysuria
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Tender Nodules on the Shins
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Frequent Night Urination
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Neck Swelling Moves with Tongue
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Painful Swollen Joint
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Yellow Eyes and Dark Urine
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Barking Cough in Child
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Sudden Chest Pain
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Burning on Urination
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Loin to Groin
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Facial Flush
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Severe Epigastric Pain
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Winter Wheeze
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Sports Knee Injury
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Highs and Lows
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Heavy Periods
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Polyuria & Thirst
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Red Jelly Stool
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Groin Swelling
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Rice Water Stool
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The Fallen Senior
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Unilateral Headache
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WhatsDx Today

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WhatsDx.today
Daily Clinical Diagnosis Game
Case Solved
✅
Diagnosis Confirmed
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GLOBAL RANK
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TOTAL XP
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Solving real clinical cases daily
WhatsDx.today is a daily clinical diagnosis game for medical students and doctors.
One case. One decision. Sharpen your clinical thinking — every day.
WhatsDx.today
Daily Clinical Diagnosis Game
Global Rank
#1
Dr. Medico
Among today’s top diagnosticians
Total Experience
⚡ 1200 XP
WhatsDx.today is a daily clinical diagnosis game for medical students and doctors.
Solve real-world cases and compete with the world