A 68-year-old man is being seen in the office for a routine physical. He is a cigarette smoker

A 68-year-old man is being seen in the office for a routine physical. He is a cigarette smoker and has a history of hypertension and hyperlipidemia. Upon exam, you auscultate a heart murmur. Please describe your general interview questions and physical exam assessment for this patient and any testing and other actions you would take to further evaluate this new finding. Explore one possible condition that could be causing the heart murmur and describe the type and location of the murmur related to the condition, progressive signs and symptoms associated with the condition, and any health-promoting education you would provide to this patient.