Pulmonary Arterial Hypertension

Auscultation: 45-year-old woman complaining of dizziness with exertion

A 45-year-old diabetic woman, two packs a day smoker, who has developed right calf pain with exertion.

Physical Exam
High blood pressure (140/80).
Pulse rate 80.
No pulse in right foot.
Marked increase in chest diameter.

Auscultate

Virtually auscultate by selecting the stethoscope's bell or diaphragm; patient respiratory phase; chestpiece location.

Chestpiece: Bell or Diaphragm

Bell Diaphragm

Respiratory Phase

Inhale Exhale

Thoracic Location

Each recording plays for about 8 seconds.

patient torso with stethoscope at aortic position

patient torso with stethoscope at Erb's Point position

patient torso with stethoscope at tricuspid position

patient torso with stethoscope at mitral position