History: Eleven-year-old girl seen after bicycle accident
Eleven-year-old girl with two centimeter laceration on the right knee requiring four sutures
Use the 'heart sounds' link above to virtually auscultate this patient.
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.