Carotid Bruit 85-year-old man with recent onset of shortness of breath with exertion Use toggle button to access additional pages in this lesson. Chart Auscultation Diagnosis 85-year-old man is seen in doctor's office due to recent onset of shortness of breath with exertion. No history of chest pain, palpitations or fainting episodes. Listen Heart Sounds The turbulence is loudest below the clavicle on the right hand side.The turbulence is a heart murmur.A medium duration diamond shaped turbulence is heard in systole and a 4th heart sound gallop is heard in diastole. Carotid Sounds The first heart sound is loudest at the Right ICS.The turbulence is at the beginning of systole.The turbulence is only heard on the right side. Course Contents70-year-old man in doctor’s office for annual exam✓85-year-old man with recent onset of shortness of breath with exertion60-year-old woman executive requests physical for life insurance authorizationA 50-year-old man with weakness of left arm and hand during the previous monthA 60-year-old man complaining of slurred speech and left leg paralysisA 65-year-old man in emergency room after fainting episodeSigned-in users can take more quizzes and earn certificates.