Group Teaching Heart Auscultation Quiz
Adult Case 5
26 year old male reviewed for police service. Very healthy, walks and jogs regularly. Absolutely no symptoms with vigorous exercise. Mildly overweight, BMI 29. Has been diagnosed with a heart murmur since he was a young child but no treatment was recommended by pediatric cardiology. No family history of cardiovascular disease or diabetes. Nonsmoker.
On examination he appears healthy. BP 122/82, pulses are normal. The heart action is normal with no apical displacement. No thrills are felt. You listen especially at the left lower sternal edge and apical areas.