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Carotid bruit: 85 year old man with recent onset of sho.

History

85 year old man is seen in doctor's office due to recent onset of shortness of breath with exertion. No history of chest pain, palpitations or fainting episodes.

Exam

Use the 'auscultation' link above to virtually listen to this patient's heart and carotid sounds.



Auscultation Tips

Significant independent predictors of the presence of a confirmed cardiac lesion:

  • A loud murmur of intensity 3 or greater.
  • Best heard at the pulmonic location (2LICS).
  • Harsh sound.
  • Pansystolic murmur.
  • Systolic click.
  • Abnormal second heart sound - fixed splitting during respiration.

85 year old man with recent onset of shortness of breath with exertion - History

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