75-year-old man with shortness of breath with minimal exertion

History

75-year-old man complains of shortness of breath with minimal exertion. Lips have a bluish tint.

Physical Exam
Blood pressure is normal.
Pulse rate is 95 bpm.
Occasional expiratory wheeze is noted.

Exam

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