This is a simulation of Cardiomyopathy - Congestive Moderate taken at the apex. 1. Note that S1 is softer than normal due to decreased LV contractility. 2. S2 is normal at the Apex. 3. An S3 is present due to left ventricular failure. 4. A rectangular, medium-pitched murmur of mild mitral insufficiency is due to a dilated mitral valve annulus.

Listen

patient thorax when auscultating by stethoscope

patient position during auscultation
The patient was seated during auscultation.

Visualize

Observe








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