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Program Progress:

Go to Harvey's bedside, select condition 27, and evaluate our patient's:
Auscultation at the Apex
Then Watch Discussion Below

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Auscultation apex
Let us now listen to our patient's auscultation at the apex. [Sounds]

Graphic
Our patient's auscultation at the apex includes a normal first heart sound, followed by an ejection sound that does not vary with respiration, identifying it as aortic. This sound is followed by a medium-to-high frequency, early peaking, systolic, crescendo-decrescendo murmur that extends to S2. Note that the murmur is not as loud as in other locations, especially those along the left sternal edge. [Sounds]