History

10 year old boy experiencing periodic non-exertional chest pain. Discomfort is sometimes associated with inspiration. Experiencing periodic palpitations.


Exam

Use the auscultation button 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.




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