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History: Eight-year-old girl with elevated temperature

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



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