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Abnormal heart sound?

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YellowTurtle

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I saw a patient with pulmonary htn.

In his left upper parasternal region I heard something abnormal and I'm not sure what it was.
It had a pattern of every other pulse. I heard S1-S2 ... S1-S2 and then a whooshing noise. S1S2 ...S1S2-whoosh ...S1S2, etc.
I watched and it wasn't timed to his breathing so I'm pretty sure it wasn't abnormal breath sounds. I could hear it slightly in a few other areas, but it was loudest over what I thought was his pulmonic valve.

Asked my attending and she said he didn't have a murmur. By that time though he had been discharged so she wasn't able to go check what I was hearing for me.

Anybody have an idea of what I heard?
 

DrBowtie

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I saw a patient with pulmonary htn.

In his left upper parasternal region I heard something abnormal and I'm not sure what it was.
It had a pattern of every other pulse. I heard S1-S2 ... S1-S2 and then a whooshing noise. S1S2 ...S1S2-whoosh ...S1S2, etc.
I watched and it wasn't timed to his breathing so I'm pretty sure it wasn't abnormal breath sounds. I could hear it slightly in a few other areas, but it was loudest over what I thought was his pulmonic valve.

Asked my attending and she said he didn't have a murmur. By that time though he had been discharged so she wasn't able to go check what I was hearing for me.

Anybody have an idea of what I heard?
You heard an echo order writing itself
 
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I saw a patient with pulmonary htn.

In his left upper parasternal region I heard something abnormal and I'm not sure what it was.
It had a pattern of every other pulse. I heard S1-S2 ... S1-S2 and then a whooshing noise. S1S2 ...S1S2-whoosh ...S1S2, etc.
I watched and it wasn't timed to his breathing so I'm pretty sure it wasn't abnormal breath sounds. I could hear it slightly in a few other areas, but it was loudest over what I thought was his pulmonic valve.

Asked my attending and she said he didn't have a murmur. By that time though he had been discharged so she wasn't able to go check what I was hearing for me.

Anybody have an idea of what I heard?
Did you control for the patient's breathing?
 

Instatewaiter

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I saw a patient with pulmonary htn.

In his left upper parasternal region I heard something abnormal and I'm not sure what it was.
It had a pattern of every other pulse. I heard S1-S2 ... S1-S2 and then a whooshing noise. S1S2 ...S1S2-whoosh ...S1S2, etc.
I watched and it wasn't timed to his breathing so I'm pretty sure it wasn't abnormal breath sounds. I could hear it slightly in a few other areas, but it was loudest over what I thought was his pulmonic valve.

Asked my attending and she said he didn't have a murmur. By that time though he had been discharged so she wasn't able to go check what I was hearing for me.

Anybody have an idea of what I heard?

I'm guessing it was either TR or PI with respiratory variation.

Or nothing.
 
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