A 73 yo man is hospitalized for SOB, chest heaviness, and weight gain. His medical history is significant for hypertension and recently diagnosed nonischemic cardiomyopathy. His medications include aspirin, lisinopril, HCTZ, and lovastatin. He was recently on vacation, when he ran out of his medications and was not fully compliant with his usual cardiac diet.
What cardiac sound would you assume you would hear on ascultation?
Which of the following sounds would correspond with what you would expect to hear?
A 19 yo woman is evaluated for palpitations described as “extra beats” that do not occur with any regularity. She has no history of syncope or pre-syncope, no cardiovascular risk factors, and no familial history of cardiovascular disease. She denies signs any signs or symptoms of congestive heart failure. She is on no medication.
On exam, her lungs are clear and a grade 2/6 late systolic murmur is detected. The murmur is heard best at the cardiac apex and radiates to the left axilla. A mid systolic click is heard.
What would you expect the diagnosis to be?
Which of the following sounds would you associate with the above diagnosis? A B C D