60 year old woman executive requests physical for life insurance authorization

Carotid Bruit Lessons

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?