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History: Eight year old girl with elevat

History

Eight year old girl 102 fever unresponsive to alcohol sponging.

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.

Eight year old girl with elevated temperature - History

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