45-year-old-woman-complaining-of-dizziness-with-exertion

A 45-year-old woman, a diabetic, two packs a day smoker, has 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

Heart Sounds

Carotid Sounds

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