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Session 33 This middle-aged male has hypertension and diabetes. Which cardiac abnormality is giving rise to his radiating, high-pitched, holosystolic murmur? We’re joined by Dr. Mike Natter from BoardVitals. Go check out his amazing artwork on Instagram @mike.natter. Listen to this podcast episode with the player above, or keep reading for the highlights and takeaway points. [02:30] Question of the Week A 58-year-old male is presenting for an evaluation of a heart murmur that was recently discovered at a work health fair. His past medical history is remarkable for hypertension and diabetes. He has a nice chest pain, palpitations, syncope, or dyspnea. Cardiac auscultation reveals a high-pitched, blowing, holocystolic murmur at the apex. It radiates toward the axilla. The murmur does not increase in intensity with inspiration. What is the most likely diagnosis? (A) Mitral stenosis (B) Ventricular septal defect (C) Tricuspid regurgitation (D) Aortic stenosis (E) Mitral regurgitation [Related episode: