A 60 year old man complaining of slurred speech and left leg paralysis 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 first heart sound is loudest at the 2RICS.Turbulence is heard at the mitral position.Turbulence is heard in systole and diastole. Carotid Sounds The turbulence is loudest above the clavicle.The turbulence is caused by a heart murmur. 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.