65-year-old-man-experienced-fainting-episode-with-exertion.

Patient experienced fainting episode while carrying heavy boxes. Has also noticed abdominal bloating over the course of last six months.

Physical Exam
Shows clubbing of the nail bed and swollen ankles.
Resting pulse rate of 65 beats per minute.

Listen

patient torso with stethoscope at aortic position

patient torso with stethoscope at Erb's Point position

patient torso with stethoscope at tricuspid position

patient torso with stethoscope at mitral position

Heart Sounds

Carotid Sounds

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