A 65 year old man in emergency room after fainting episode 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 Turbulence is heard in both systole and diastole.The first HS is louder than the second HS at 2RICS.A fourth heart sound is heard at the mitral area. Carotid Sounds A short duration systolic turbulence is heard on the right side.The turbulence is louder below the clavicle.The turbulence is a manifestation of a bruit. 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.