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60-year-old woman with constipation of three months

A 60-year-old woman with constipation of three months duration. Her exercise tolerance has been decreased. She has coarse, rough skin.

Physical Exam

Blood pressure is increased. Pulse rate is 80 bpm. Swollen ankles. Lung sounds are normal.

Listen

patient torso with stethoscope at aortic position

patient torso with stethoscope at aortic position
patient torso with stethoscope at Erb's Point position

patient torso with stethoscope at tricuspid position

Auscultation Observations











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