Assessment of Tricuspid valve disease: Video, Anatomy & Definition | Osmosis

Question

A 50-year-old man comes to the emergency department for evaluation of progressive lethargy, shortness of breath, and abdominal pain for three days. The shortness of breath began suddenly while watching TV. His medical history includes hypertension, type 2 diabetes mellitus, obesity, and a thirty pack-year smoking history. Temperature is 38.2&#176;C (100.76&#176; F), pulse is 115/min, respirations are 22/min, and blood pressure is 130/60 mm Hg. Physical examination reveals jugular venous distention, right upper quadrant tenderness, and +2 peripheral edema. The lungs are clear to auscultation. The left calf is swollen and tender to palpation when compared to the right calf. Which of the following findings is most likely to be found on cardiac auscultation?&#160;

Accepted Answer

Holosystolic murmur over the 4th left intercostal space

Answer

Systolic ejection murmur over the right sternal border

Answer

Holosystolic murmur over the left lower sternal border radiating to the axilla

Answer

Opening snap followed by a diastolic murmur over the left lower sternal border

Answer

Continuous murmur over the left infraclavicular area

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Tricuspid valve disease

Pathology

Cardiovascular system