History: 25 year old woman with severe abdominal pain..
A 25 year old woman with history of appendicitis with perforation and subsequent adhesion.
Physical ExamNormal blood pressure and heart rate. Heart and lung sounds normal. Abdominal distension is noted.
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.