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60-year-old woman with diffuse abdominal pain.

History

A 60-year-old woman with nausea vomiting and diffuse abdominal pain of two days duration.

Low blood pressure. Rapid heart rate. Abdominal swelling. Marked discomfort with change in position.

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.
Authors and Sources

Authors and Reviewers

Sources


60-year-old woman with diffuse abdominal pain.

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