Carotid Bruit 70-year-old-man-in-doctor’s-office-for-annual-exam Use toggle button to access additional pages in this lesson. Chart Auscultation Diagnosis A 70-year-old man presents to his doctor's office for routine follow-up examination. No history of chest pain, heart failure or fainting episodes. Patient has a heart murmur first noted in his early 50s. Listen Heart Sounds A third heart sound gallop is present.The turbulence is loudest below the clavicle.There is turbulence in systole and diastole. Carotid Sounds The sounds heard above the clavicle are reduced in intensity.The turbulence is a carotid bruit.No significant sounds. Lessons✓70-year-old man in doctor’s office for annual exam.85-year-old man with recent onset of shortness of breath with exertion.60-year-old woman executive requests physical for life insurance authorization.A 50-year-old man with weakness of left arm and hand during the previous month.A 60-year-old man complaining of slurred speech and left leg paralysis.A 65-year-old man in emergency room after fainting episode.Signed-in users can take quizzes and earn certificates.