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Carotid bruit: 70 year old man in doctor’s office for a.

History

A 70 year old man presents to his doctor's office for routine follow up examination. No history of chest pain, heart failure or fainting episodes. Patient has a heart murmur first noted in his early 50s.

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.

70 year old man in doctor’s office for annual exam - History

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