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
. His heart rate was 130 beats per minute and consisted of an irregular rhythm, hypokinetic and asynchronous femoral pulse.
Systolic murmur heard in the tricuspid area
. From the history and examination findings, possibilities considered were multilobar consolidation with right-sided synpneumonic effusion, Leptospirosis with ARDS, Infective endocarditis, Enteric fever.
There was 2/6 systolic murmur on the tricuspid area
Cardiac examination showed left parasternal heave, loud P2 and a grade 2 pansystolic murmur on tricuspid area
. The rest of the systemic examination was normal.
On cardiovascular examination, abnormal heart sounds were present in tricuspid area
. On obstetrical abdominal examination, the height of fundus was 38cm, Presentation was cephalic, Lie was longitudinal and there were no uterine contractions at 32 weeks of gestation.
She had systolic murmur in tricuspid area
with loud S2.
It was associated with grade-IV pansystolic murmur which was heard at 5th intercostal space in tricuspid area
and grade-IV mid-diastolic murmur which was heard at the apex.
On auscultation S1S2 present, a pan systolic murmur was heared in the tricuspid area
. The respiratory rate 20/min and there was bilateral fine basal crepitations.
Examination of cardiovascular system revealed the presence of a loud pansystolic murmur, best heard in the tricuspid area
. Liver was not palpable and there were no other signs of heart failure at the time of presentation.
On auscultation there was a loud S1 and a mid-diastolic murmur at mitral area, pansystolic murmur was heard at tricuspid area
, an ejection systolic murmur in pulmonary area (flow murmur) with wide and fixed split S2.
A 3/5 pan systolic murmur was heard in tricuspid area
, and in mitral area radiating to axilla.