85 year old man with recent onset of shortness of breath with exertion Carotid Bruit Lessons Chart Auscultation Diagnosis Listen to the three heart sounds and two carotid sounds. What are your observations? play pause play pause play pause play pause play pause 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. Table of Contents Carotid Artery Exam 170 year old man in doctor’s office for annual exam 285 year old man with recent onset of shortness of breath with exertion 360 year old woman executive requests physical for life insurance authorization 4A 50 year old man with weakness of left arm and hand during the previous month 5A 60 year old man complaining of slurred speech and left leg paralysis 6A 65 year old man in emergency room after fainting episode Today's Score 0 correct out of 0 attempted.