12th March 2024

A 32-year-old male is referred to the cardiology team with reports of increased exertional dyspnoea over the last few days.

A 32-year-old male is referred to the cardiology team with reports of increased exertional dyspnoea over the last few days. Admission observations reveal a blood pressure of 160/60mmHg, heart rate of 105 bpm, oxygen saturations of 93% on 2L oxygen and a temperature of 38.2 C. On closer inspection, you note the presence of visible carotid pulsations in the neck as well as visible capillary pulsations in the nailbed. You proceed to cardiac auscultation. Given the information above, what finding would you expect to hear upon auscultation?

Select the SINGLE most appropriate option from the list below. Select ONE option only.