Summary - Physical Diagnosis

w a r d
w i n s
p u sh i n g h a rd A o rt i c 1 1 m i d d i a st ol i c
w e st e r m it r a l s t e n o s i s ( H y p e r t r o p h y ) 5 ᵗ ʰ in t e r c o s t
- 9 a 9 m u r m u r 5 2
A o r t ic s t e n o s is
p u lm o n a r y n a r r o w e d m i tr a l v a lv e m id -d i a s
2 n d in t er co st a l s p a ce R h e u m a t ic H e a r t d i s e a se L o w p it c h e
In f e c t i v e e n d o c a r d i t i s
5 2 - 'e j e c t i o n sy st ol i c
A t r iu m l o u d 5 1
c o m m o n - *
M it r a l p a l p a t e t a p p i n g a p ex b e a t
n a r r o w A V
5 1 m o l a r f lu s h
H ig h p i t c h e d
c r e s ce n d o - d e c r e s c e n d o T ric u s p i d A f i b _ L ea d
5th
R a d i a t e s t o c a r ot id s u f e s t m i tr a l R e g ( d i la t a t i o n ) th in s , 5
s lo w r i si n g p u l se V e n t r i c le s
na r row pu ls e p r es s u r e . 3 rd p a in - s y st o l i c ( t h r ou g h o u t sy s t o li c
E x e r t io n a l s y n c o p e , An g i n a , D y sp n e a A p u t H ig h p itc h ed w h i st l i n g
A g e r el a t e d c a l c i f i c a t i on 2 n d ↳ h ig h v el o c i t y o f b lo o d
R h eu m a ti c r ig h t
5 1 52 ( c o n s i st e n t )
f a r m A x i ll a
5 t h T M p a n s y st a t i
A or t ic R e g u r / t h i n I S 2 , D ia s t o l i c B R A R
le f t 5 th
A o r t ic v a lu e b e c o m e s im e r m p e n t st a r
A p e x c o n g e st iv e c a r d i a c f a il u r e
s o f t m u r m u r E j e c t i on fr a c ti o n