47 year old man experiencing severe chest pain with exertion

Auscultate The Heart

Bell or Diaphragm? Bell
Diaphragm
Ask Patient To: Inhale
Exhale

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Pulmonary Arterial Hypertension patient with stethoscope chestpiece

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What are your observations?

Third HS gallop heard at RLSB with Bell at inspiration
Fast heart rate
Systolic murmur at RLSB and diastolic murmur at 2LICS
Split second heart sound at peak expiration

Pulmonary Arterial Hypertension

Introduction

1	50 year old man complaining of swollen ankles
2	45 year old woman complaining of dizziness with exertion
3	75 year old man with shortness of breath with minimal exertion
4	65 year old man experienced fainting episode with exertion.
5	47 year old man experiencing severe chest pain with exertion

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