There was no evidence of abnormal breath sounds, cardiac murmur
, abdominal bruit, or pretibial pitting oedema.
A 38-year-old man with no unusual medical history was hospitalized in 2017 for evaluation of a new cardiac murmur
detected by his primary care physician.
Examination was notable for a well-developed child with a normal funduscopic exam, no cardiac murmur
, and normal mental status including speech, normal cranial nerves, and strength.
Classically, in CoA, the physical exam will show upper extremity hypertension, decreased lower extremity blood pressures, diminished pulses in the lower extremities, hypothermia, and a cardiac murmur
, though nearly 50% of infants do not present with a murmur .
Auscultation revealed bilateral fine crepitations and rhonchi with normal heart sounds and no cardiac murmur
. Rest of the examination was unremarkable.
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.