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.
