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A 50-year-old man with weakness of left arm and hand during the previous month

History

A 50-year-old man presents for complete neurologic examination due to weakness of left arm and hand during the previous month. There is no history of heart or lung disease.

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

carotid bruit patient history image


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.

Authors and Reviewers

Authored by Dr. Jonathan Keroes, MD and David Lieberman, Developer, Virtual Cardiac Patient. Medically reviewed by Dr. Barbara Erickson, PhD, RN, CCRN. Last Update: 11/29/2021

A 50-year-old man with weakness of left arm and hand during the previous month


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