On physical examination, cardiac auscultation revealed a grade V/VI systolic murmur
at the mitral area and a grade IV/VI systolic murmur
at the tricuspid area.
On examination he was weighing <2SD for age and sex, saturating 88% in air, well perfused, but tachypneic with mild S/C recession, had clear chest, 2/6 systolic murmur
at LSE and no hepatomegaly.
In the background of a prolonged fever, multilobar consolidation, systolic murmur
in the tricuspid area, splenomegaly and staphylococcal septicaemia, a very high clinical probability of a right-sided Infective endocarditis was considered and transthoracic Echo done initially was normal.
Physical exam revealed grade 3/6 end systolic murmur
and 2/4 long diastolic murmur heard at the left sternal border.
Apart from a soft systolic murmur
the physical examination was unremarkable.
Physical examination revealed a regular heart rate at 100 beats/ min, a blood pressure of 111/53 mmHg, a respiratory rate of 19 breaths/min, slight jugular venous distention suggesting a right atrial mean pressure of 8-10 cm of blood, crackles at both lung bases (L>R), a soft systolic murmur
in the 2nd left intercostal space at the sternal edge, 1+/4+ pretibial edema bilaterally, and slight abdominal distention.
During the physical examination we found a mid-systolic click, followed by a late systolic murmur
She presented a systolediastole murmur of V/VI grade in the aortic area, that radiated in Erb, a bilateral systolic murmur
in the carotids and a systolic murmur
of V/VI grade in the mitral area, radiating in the axillary area.
On admission, she had no fever, nor any neurological deficits and the systemic examination was unremarkable except for a systolic murmur
There was a right ventricular heave, loud S2 and a grade 2/6 systolic murmur
heard throughout the pericardium.
His blood pressure was 220/110 mmHg and there was grade III ejection systolic murmur
at left sternal border, as well as grade II pan systolic murmur
at mitral area, radiating to axilla.
prominent at aortic area was noted on auscultation.