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History: 70 year old man with abdominal pain, low blood.

History

70 year old man admitted to ICU with abdominal pain, low blood pressure and rapid heart rate.

Physical Exam

Low blood pressure (100/60). Pulse rate 120. Periumbilical pain on palpation.

Exam

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.

70 year old man with abdominal pain, low blood pressure and rapid heart rate - History

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