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85 year old man with recent onset of shortness of breath with exertion
Carotid Bruit Lessons
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Listen to the three heart sounds and two carotid sounds. What are your observations?
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Auscultation
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Heart Sounds
The turbulence is loudest below the clavicle on the right hand side.
The turbulence is a heart murmur.
A medium duration diamond shaped turbulence is heard in systole and a 4th heart sound gallop is heard in diastole.
Carotid Sounds
The first heart sound is loudest at the Right ICS.
The turbulence is at the beginning of systole.
The turbulence is only heard on the right side.
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