Learning Cardiac Auscultation by Allen J. Taylor

Author:Allen J. Taylor
Language: eng
Format: epub
Publisher: Springer London, London

Case Description

History

A 32 yo male recently diagnosed with aortic regurgitation presents for a pre-sports physical exam.

The patient is asymptomatic with an unremarkable medical history. He is currently taking ramipril.

Physical Examination

The patient has a BP of 158/40 mmHg (thigh) and 118/42 (arm). Pulse is 65 bpm and JVP are normal.

Auscultation reveals a grade 2/4 mid-diastolic murmur heard in apical area. The patient has severe AR (Fig. 12.1).

Fig. 12.1Graphical representation of auscultation findings in a patient with the Austin Flint murmur

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