Cases Related To Blood Pressure - Part I Unlock lessons, quizzes and more. Sign Up A 75 year old woman complains of lethargy ... Cuff Auscultation Diagnosis Listen to the heart and lung sounds. What are your observations? play pause Heart Sounds Fourth heart sound gallop with decreased intensity of S1.Normal first and second heart soundsSplit second heart sound. play pause Lung Sounds Normal vesicular breath sounds.Bronchial breath sounds.Vesicular breath sounds with a wheeze. Table of Contents 140 year old man with headaches and shortness of breath 245 year old woman with headache and facial swelling 3A 50 year old man with weight loss, fatigue, weakness... 4A 65 year old woman with a two hour history of chest pain and dizziness. 5A 54 year old man is brought to the emergency room from his doctor's office. 6A 45 year old man complains of shortness of breath with exertion. 7Ten year old girl brought to office by mother. 8A 60 year old woman enters emergency room after a recent fainting episode. 9A 45 year old woman complains of a two month history of fast heart rate and palpitations. 10A 75 year old woman complains of lethargy ... 0 correct out of 0 attempted. Should you require a refresher course on heart or lung sound auscultation, our website includes multiple heart and lung sound lessons and drills.