10 year old with chest pain.


10 year old boy experiencing periodic non-exertional chest pain. Discomfort is sometimes associated with inspiration. Experiencing periodic palpitations.


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Auscultation Tips

Significant independent predictors of the presence of a confirmed cardiac lesion:

  • A loud murmur of intensity 3 or greater.
  • Best heard at the pulmonic location (2LICS).
  • Harsh sound.
  • Pansystolic murmur.
  • Systolic click.
  • Abnormal second heart sound - fixed splitting during respiration.