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Eight-year-old boy with generalized malaise


Eight-year-old boy with lack of appetite, low energy, crying, doesn't play with friends.


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

Eight-year-old boy with generalized malaise

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