• Cardiovascular Examination:
  • Auscultation: Grade 2/6 left apical blowing quality murmur. Heart rate 100bpm and regular and occasionally with respiratory variation. Lungs clear.
  • Thrill: none
  • PMI: left
  • Femoral Artery: good quality bilaterally
  • Other Physical Exam Findings: Bright, alert, and responsive, friendly and relaxed
• Release Notes:
  • Limoncello’s heart disease is stable on the current supplements. There has been a slight increase in the heart
    size from July 2019 and a trivial amount of mitral valve insufficiency as noted previously.
  • Supplements will continue with no changes and tracking the sleeping respiratory rates (SRRs) will also continue.

Limoncello will see Dr. Bossbaly again in May 2021

Echocardiogram and Ultrasound: