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History: 50 year old man with recent onset jaundice.

History

A 50 year old man is admitted to the hospital with a history of colon cancer and recent onset of jaundice.

Physical Exam

Abdominal tenderness in right upper quadrant. Normal BP (120/80). Jaundice is noted in sclera. Abdomen is distended. Swollen ankles.

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.

50 year old man with recent onset jaundice - History

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