60 year old woman executive requests physical for life insurance authorization Carotid Bruit Lessons Chart Auscultation Diagnosis Patient Chart 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). Test Results: Examination of heart, lungs and abdomen are all within normal limits. Heart Sounds: Carotid Sounds: Diagnosis What is your diagnosis? Left sided moderate duration internal carotid bruit.Right sided early systolic internal carotid bruit.Fourth heart sound gallop. 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.