A 2-month old male infant presents to the pediatrician for r…

A 2-month old male infant presents to the pediatrician for routine appointment. The mother notes he was born at 38 weeks 6 days gestation via uncomplicated vaginal delivery. No complications or medical problems in the interim. On physical examination, the exam is normal except noted bilateral cryptorchidism. The following complications are possible EXCEPT:

A 72-year-old male with past medical history of diastolic co…

A 72-year-old male with past medical history of diastolic congestive heart failure and hypertension presents for routine follow-up. On auscultation for the cardiac physical examination, you note regular rate and rhythm with S4 heart sound. No murmurs, gallops or rubs are appreciated. What does the S4 sound likely represent?