Eleven-year-old girl seen after bicycle accident
History
Eleven-year-old girl with two centimeter laceration on the right knee requiring four sutures
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
Medically reviewed by Dr. Barbara Erickson, PhD, RN, CCRN. Last Update: 11/18/2020
