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45-year-old diabetic who has developed right calf pain

A 45-year-old diabetic woman, two packs a day smoker, who has developed right calf pain with exertion.

Physical Exam

High blood pressure (150/95). Pulse rate 80. No pulse in right foot. Marked increase in chest diameter.

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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