[Solved]: Luke is a 19 year-old student who has just experienced…

Luke is a 19 year-old student who has just experienced a terrifying event. He was rowing intensely in his first college regatta, and just before the boat crossed the finish line, he slumped over and lost consciousness. His crew quickly got him to shore. He was treated by paramedics immediately. An AED saved his life, as he was pulseless and in ventricular fibrillation when attended to on shore. Luke’s has only two other medical issues: mild exercise-induced asthma, and he has alway done well taking two puffs of albuterol before physical actvity, and depression/anxiety since starting college and is on fluoxetine, 20 mg, PO, daily. The nurse is seeing this patient in follow-up. Q1) What are additional questions you would want to ask him? Luke’s physical exam reveals the following: **a systolic murmur along the left-sternal border, the murmur becomes stronger with Valsalva maneuver **heart rate is 65 bpm, regular **there are no additional heart sounds **there is no JVD **lungs are clear **peripheral pulses are equal, 2+ Q2) What genetic disorder might Luke have? Q3) What work-up should this patient undergo? (there is one really important imaging/diagnostic test) Q4) How can Luke manage his condition? Q5) How should Luke’s family be counseled? (consider what sort of testing they might consider undergoing)