Pulmonary Arterial Hypertension 50-year-old man complaining of swollen ankles Use toggle button to access additional pages in this lesson. Chart Auscultation Diagnosis 50-year-old man complaining of swollen ankles of two months duration and shortness of breath with exertion. Physical Exam Blood pressure is normal. Pulse rate is 95 bpm. Respiration of 15 breaths per minute. Listen Heart Sounds Murmur heart loudest at 2RICSWidest splitting of s2 at ExpirationMurmur loudest at TricuspidMurmur heart loudest with Bell Carotid Sounds Course Contents✓50-year-old man complaining of swollen ankles45-year-old woman complaining of dizziness with exertion75-year-old man with shortness of breath with minimal exertion65-year-old man experienced fainting episode with exertion.47-year-old man experiencing severe chest pain with exertionSigned-in users can take more quizzes and earn certificates.