PHYSICAL EXAMINATION

Abstract

On physical exam the vital signs are within normal limits. On cardiac auscultation, he has a grade III/VI crescendodecrescendo systolic ejection murmur at the right upper sternal border with radiation to the carotid area. There is also a grade III/VI holosystolic murmur at the cardiac apex. S1 and S2 heart sounds are normal with regular rate and rhythm. Lungs have symmetric lung expansion with normal breath sounds. Peripheral pulses in all extremities are palpable and symmetric.