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30-year-old pregnant woman for routine examination.

History

A 30-year-old, 6-month pregnant woman arrives for routine examination of mother and fetus. Mother has history of drug addiction and cigarette use.

Physical Exam

Mother has normal blood pressure and heart rate. Mother's heart and lung sounds normal.

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.

30-year-old pregnant woman for routine examination.

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