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10-year-old with chest pain.

History

10-year-old boy experiencing periodic non-exertional chest pain. Discomfort is sometimes associated with inspiration. Experiencing periodic palpitations.

Exam

Use the 'heart sounds' link above to virtually auscultate this patient.



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.
Authored by Dr. Jonathan Keroes, MD, Cardiology
Medically reviewed by Dr. Barbara Erickson, PhD, RN, CCRN. Last Update: 11/18/2020

10-year-old with chest pain.

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