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History: 12-year-old boy with respiratory infections

History

12-year-old boy complains of headaches and periodic nose bleeds. Blood pressure elevated. History of frequent respiratory infections.

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.

12-year-old boy with respiratory infections



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