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History: Twelve-year-old girl with periodic dizziness

History

Twelve-year-old girl complaining of periodic dizziness during soccer practice. Frequent panic attacks with rapid heart beat.

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.

Twelve-year-old girl with periodic dizziness



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