45-year-old diabetic who has developed right calf pain
A 45-year-old diabetic woman, two packs a day smoker, who has developed right calf pain with exertion.
Physical ExamHigh blood pressure (150/95). Pulse rate 80. No pulse in right foot. Marked increase in chest diameter.
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.