75-year-old woman with marked elevation of blood pressure
A 75-year-old woman is admitted to the hospital with a diagnosis of marked elevation of blood pressure. Patient takes no medication.
Physical ExamHigh blood pressure (200/110). Pulse rate 70. Swollen ankles.
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.