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 ExamBlood pressure is increased. Pulse rate is 80 bpm. Swollen ankles. Lung sounds are normal.
Use the 'auscultation' link above to virtually listen to this patient's heart and carotid sounds.
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.