History: 60 year old woman with diffuse abdominal pain..
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.
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.