After feeling out of sorts for a time, the man experienced severe pain in the precordium and felt too ill to leave his bed.    From Wordnik.com.  [Anomalies and Curiosities of Medicine] Reference

Clear-cut clinical evidence of a hemodynamically significant patent ductus arteriosus should be present, such as respiratory distress, a continuous murmur, a hyperactive precordium, cardiomegaly and pulmonary plethora on chest x-ray.    From Wordnik.com.  [THE MEDICAL NEWS] Reference