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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.

Physical Exam

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.

60-year-old woman with diffuse abdominal pain.

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