Carotid bruit: 60 year old woman executive requests phy.
History
A 60 year old woman who is the CEO of an electronics company in Silicon Valley, presents for a history and physical required for life insurance authorization. There is no prior history of stroke, neuromuscular disease or a transient ischemic attack (TIA).
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.
