Pulmonary Arterial Hypertension 75-year-old man with shortness of breath with minimal exertion Use toggle button to access additional pages in this lesson. Chart Auscultation Diagnosis 75-year-old man complains of shortness of breath with minimal exertion. Lips have a bluish tint. Physical Exam Blood pressure is normal.Pulse rate is 95 bpm. Occasional expiratory wheeze is noted. Listen Heart Sounds Split second heart sound with bell at expirationFourth heart sound gallop with diaphragm at 2RICSSingle second heart sound with diaphragm at inspirationFourth heart sound gallop with bell at RLSB Carotid Sounds Course Contents50-year-old man complaining of swollen ankles45-year-old woman complaining of dizziness with exertion✓75-year-old man with shortness of breath with minimal exertion65-year-old man experienced fainting episode with exertion.47-year-old man experiencing severe chest pain with exertionSigned-in users can take more quizzes and earn certificates.