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She looks frail. Her pulse rate is 88/min irregular and blood pressure 172/94mmHg. The apex beat is displaced to the sixth intercostal space, mid-axillary line. Her heart sounds are normal and a grade 3/6 pan systolic murmur is audible. A soft bruit is audible on auscultation over the left carotid artery. Her dorsalis pedis pulses are not palpable bilaterally and her posterior tibial is weak on the left and absent on the right. Examination of her chest and abdomen is normal. Neurological examination demonstrates normal tone, strength and reflexes. There is no sensory loss. Fundoscopy is normal.
SCIENCE
HEALTH SCIENCE
NURSING

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