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Eleven-year-old girl seen after bicycle accident


Eleven-year-old girl with two centimeter laceration on the right knee requiring four sutures


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

Eleven-year-old girl seen after bicycle accident

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