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It seems like a recurring theme, my waking up early. Other than consuming obscene amount of food, I also attended every teaching session today. So from 9.45am until 6.15pm (minus snack time, lunch time, tea time, coffee break)… I participated in something involving cardiology. Yay.
In clinic this afternoon, I was asked to examine a patient and present my findings.
Ah yes, scary. But I did examine, and present I did.
On examination, the patient is comfortable at rest. Blah-blah-blah. He has a muffled first heart sound with no added sounds. He has a pansystolic murmur heard loudest at the apex in the left lateral position and in held expiration, radiating to the axilla.
The doctor looked at me and said okay. Then turned to the patient to say I have examined you, and don’t worry, you’ve got a perfectly normal heart. The student is wrong.
So, on this very white snowy day, I find out that I don’t know what a normal heart sounds like.
