Carotid Bruit a-65-year-old-man-in-emergency-room-after-fainting-episode Use toggle button to access additional pages in this lesson. Chart Auscultation Diagnosis A 65-year-old man is seen in the emergency room due to a fainting episode. No history of chest pain or shortness of breath with exertion. Listen Heart Sounds Turbulence is heard in both systole and diastole.The first HS is louder than the second HS at 2RICS.A fourth heart sound is heard at the mitral area. Carotid Sounds A short duration systolic turbulence is heard on the right side.The turbulence is louder below the clavicle.The turbulence is a manifestation of a bruit. Course Contents70-year-old-man-in-doctor’s-office-for-annual-exam85-year-old-man-with-recent-onset-of-shortness-of-breath-with-exertion60-year-old-woman-executive-requests-physical-for-life-insurance-authorizationa-50-year-old-man-with-weakness-of-left-arm-and-hand-during-the-previous-montha-60-year-old-man-complaining-of-slurred-speech-and-left-leg-paralysis✓a-65-year-old-man-in-emergency-room-after-fainting-episodeSigned-in users can take more quizzes and earn certificates.