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40-year-old man with generalized abdominal pain


40-year-old male seen in ER with a history of generalized abdominal pain of 24 hour duration.
Blood pressure is normal. Pulse rate is 120 bpm.


Use the 'auscultation' link above to virtually listen to this patient's heart and carotid sounds.

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.
Authors and Sources

Authors and Reviewers


40-year-old man with generalized abdominal pain

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