Pulmonary Arterial Hypertension

45-year-old woman complaining of dizziness with exertion

A 45-year-old diabetic woman, two packs a day smoker, who has developed right calf pain with exertion.

Physical Exam
High blood pressure (140/80).
Pulse rate 80.
No pulse in right foot.
Marked increase in chest diameter.

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

45-year-old woman complaining of dizziness with exertion

Listen

Heart Sounds

Carotid Sounds