75-year-old-man-with-shortness-of-breath-with-minimal-exertion

75-year-old man complains of shortness of breath with minimal exertion. Lips have a bluish tint.

Physical Exam
Blood pressure is normal.
Pulse rate is 95 bpm.
Occasional expiratory wheeze is noted.

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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