Carotid Bruit

A 60-year-old man complaining of slurred speech and left leg paralysis

A 60-year-old man presents to emergency room complaining of 30 minutes of slurred speech and left leg paralysis. There is no history of lung or heart abnormality or cerebrovascular disease. Patient has history of high blood pressure and is taking anti-hypertensive medication resulting in normal office BP on multiple occasions.

Listen

patient torso with stethoscope at aortic position

patient torso with stethoscope at Erb's Point position

patient torso with stethoscope at tricuspid position

patient torso with stethoscope at mitral position

A 60-year-old man complaining of slurred speech and left leg paralysis

Listen

Heart Sounds

Carotid Sounds