Carotid Bruit A 65-year-old man in emergency room after fainting episode Use toggle button to access additional pages in this lesson. Chart Auscultation Diagnosis A 65-year-old man is seen in the emergency room due to a fainting episode. No history of chest pain or shortness of breath with exertion. Listen Heart Sounds Turbulence is heard in both systole and diastole.The first HS is louder than the second HS at 2RICS.A fourth heart sound is heard at the mitral area. Carotid Sounds A short duration systolic turbulence is heard on the right side.The turbulence is louder below the clavicle.The turbulence is a manifestation of a bruit. Course Contents70-year-old man in doctor’s office for annual exam85-year-old man with recent onset of shortness of breath with exertion60-year-old woman executive requests physical for life insurance authorizationA 50-year-old man with weakness of left arm and hand during the previous monthA 60-year-old man complaining of slurred speech and left leg paralysis✓A 65-year-old man in emergency room after fainting episodeSigned-in users can take more quizzes and earn certificates.