The clinician is performing a cardiac examination on a patient with shortness of breath and palpitations....
The clinician is performing a cardiac examination on a patient with shortness of breath and palpitations. The clinician listens to the heart with the patient sitting upright, then changes to a supine position, and finally has him turn onto his left side in the left lateral decubitus position. Which of the following valvular defects is best heard in this position?
Aortic - listening with the diaphragm of the stethoscope
Pulmonic - listening with the bell of the stethoscope
Mitral - listening with the bell of the stethoscope
Mitral - listening with the diaphragm of the stethoscope
Homework Answers
Answer: Mitral - listening with the bell of the stethoscope.
( This is because the left ventricle comes closer to the chest wall by the left lateral decubitus position which enables us to hear the mitral valve murmur more clearly.)
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