Auscultation revealed bilateral fine crepitations and rhonchi with normal heart sounds and no cardiac murmur
Patients can be asymptomatic or present with palpitations, cardiac murmur
, arrhythmias, congestive heart failure, and even sudden death according to the size and location of the tumor.
The electronic stethoscope has many advantages over acoustic stethoscope such as amplified cardiac murmur
, low output noise environment, display cardiac waveform, storage option.
The remainder of the indications cited for preoperative TTE included history of cerebrovascular accident (CVA) (3/43), clinical cardiac murmur
(2/43), congestive heart failure (2/43), history of syncope related to injury (2/43), and multiple cardiac risk factors (hypertension, diabetes mellitus, hypercholesterolemia) in (4/43).
If a cardiac murmur
is heard on physical exam, hoarseness is noted, or if the patient describes chest/back discomfort or difficulty swallowing, then further workup with an echocardiogram or CT scan is reasonable.
Detailed analysis signs reveals splenomegaly mild to moderate 38%, heptosplenomegaly 22%, rash 12%, neck stiffness 6%, cardiac murmur
4%, joints tenderness 8%, jaundice 8%.
Clinical examination revealed elevated jugular venous pressure, minimal pedal edema, a systolic cardiac murmur
, and bibasal lung crackles.
They were enrolled if they showed evidence of congestive cardiac failure (CCF), cardiac murmur
, arthritis or chorea and if they satisfied the 2002/3 World Health Organization modified Jones criteria for ARF and RHD.
4) The physical exam may reveal a new cardiac murmur
Physical examination revealed mesocardiac 2-3/6 grade continuous cardiac murmur
Underlying cardiac abnormalities, such as previous history of syncope, family history of sudden cardiac death, cardiac murmur
, history of over-exhaustion post exercise and ventricular tachyarrhythmia during physical activity, are the main cause of unexpected death in athletes on field.
4) Rupture occurs 3 - 5 days after the myocardial infarction and the patient presents with sudden deterioration, new onset cardiac murmur
, congestive heart failure, and often in cardiogenic shock.