History: 70 year old man with abdominal pain, low blood.
70 year old man admitted to ICU with abdominal pain, low blood pressure and rapid heart rate.
Physical ExamLow blood pressure (100/60). Pulse rate 120. Periumbilical pain on palpation.
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.