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110 Cards in this Set
- Front
- Back
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location: angina
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retrosternal, diffuse
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location: not angina
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localized, inc. left inframammary
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radiation: angina
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left arm, jaw, back
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description: angina
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aching, dull, pressing, squieezing, viselike
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description: not angina
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sharp, shooting, cutting
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intensity: angina
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mild to severe
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intensity: not angina
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f'ing excruciating
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duration: angina
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minutes
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duration: not angina
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anything but 'minutes'
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precipitated by: angina
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effort, emotion, eating, cold
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precipitated by: not angina
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respiration, posture, motion
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relieved by: angina
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rest, nitroglycerin
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relieved by: not angina
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nonspecific
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IJV vs carotid pulse: palpation
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not palpable vs palpable
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IJV vs carotid pulse: wave forms
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multiform vs single
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IJV vs carotid pulse: quality
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soft, undulating vs vigorous
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IJV vs carotid pulse: change w/ pressure
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wave forms obliterated vs no effect (light pressure on vessel above sternal end of clavicle)
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IJV vs carotid pulse: change w/ inspiration
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decreased vs no effect
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IJV vs carotid pulse: change w/ sitting up
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decreased vs no effect
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IJV vs carotid pulse: change w/ valsalva
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increased vs no effect
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anacrotic pulse: description
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small, slow rising, delayed pulse with notch/shoulder on ascending limb
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anacrotic pulse: cause
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aortic stenosis
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waterhammer pulse: description
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rapid and sudden systolic expansion
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waterhammer pulse: cause
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aortic regurgitation
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bisferiens pulse: description
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double peaked with midsystolic dip
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bisferiens pulse: cause
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aortic regurgitation; combined aortic stenosis and regurg; idiopathic hypertroph subaortic stenosis
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alternans pulse: description
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alternating amplitude of pulse pressure
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alternans pulse: cause
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CHF
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paradoxical pulse: description
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big drop in systolic blood pressure during inspiration
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paradoxical pulse: cause
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tamponade; constrictive pericarditis; COPD
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supine: cardiac auscultation
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S1 all areas; S2 all areas; systolic murmurs/sounds all areas
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left lateral decubitus: cardiac auscultation
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diastolic events at apex with bell of stethoscope
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upright: cardiac auscultation
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S1 all areas; S2 all areas; systolic murmurs/sounds all areas; diastolic murmurs/sounds all areas
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upright, leaning forward: cardiac auscultation
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diastolic events at base with diaphragm of stethoscope
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aortic stenosis vs mitral regurgitation: location
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aortic area vs apex
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aortic stenosis vs mitral regurgitation: radiation
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neck vs axilla
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aortic stenosis vs mitral regurgitation: shape
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diamond vs holosystolic
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aortic stenosis vs mitral regurgitation: pitch
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medium vs high
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aortic stenosis vs mitral regurgitation: quality
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harsh vs blowing
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2 most common systolic murmurs: ?
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aortic stenosis and mitral regurgitation
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aortic stenosis: decreased A
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yes
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aortic stenosis: ejection click
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yes
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aortic stenosis: S4
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yes
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aortic stenosis: Narrow pulse pressure
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yes
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aortic stenosis: slow rising and delayed pulse
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yes
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aortic stenosis: Decreased S1
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no
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aortic stenosis: S3
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no
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aortic stenosis: Laterally displaced diffuse PMI
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no
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mitral regurgitation: decreased A
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no
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mitral regurgitation: ejection click
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no
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mitral regurgitation: S4
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no
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mitral regurgitation: Narrow pulse pressure
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no
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mitral regurgitation: slow rising and delayed pulse
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no
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mitral regurgitation: Decreased S1
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yes
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mitral regurgitation: S3
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yes
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mitral regurgitation: Laterally displaced diffuse PMI
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yes
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systolic or diastolic: pulmonic stenosis
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systolic
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systolic or diastolic: tricuspid regurgitation
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systolic
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systolic or diastolic: ventricular septal defect
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systolic
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systolic or diastolic: venous hum
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systolic
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systolic or diastolic: innocent murmur
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systolic
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location: pulmonic stenosis
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pulmonic area
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location: tricuspid regurgitation
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tricuspid area
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location: ventricular septal defect
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tricuspid area
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location: venous hum
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above clavicle
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location: innocent murmur
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widespread (usually between apex and left lower sternal border)
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radiation: pulmonic stenosis
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neck
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radiation: tricuspid regurgitation
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right of sternum
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radiation: ventricular septal defect
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right of sternum
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radiation: venous hum
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right neck
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radiation: innocent murmur
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minimal
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shape: pulmonic stenosis
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diamond
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shape: tricuspid regurgitation
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holosystolic
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shape: ventricular septal defect
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holosystolic
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shape: venous hum
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continuous
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shape: innocent murmur
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diamond
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pitch: pulmonic stenosis
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medium
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pitch: tricuspid regurgitation
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high
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pitch: ventricular septal defect
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high
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pitch: venous hum
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high
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pitch: innocent murmur
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medium
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quality: pulmonic stenosis
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harsh
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quality: tricuspid regurgitation
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blowing
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quality: ventricular septal defect
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harsh
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quality: venous hum
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roaring; hhumming
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quality: innocent murmur
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twanging; vibratory
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2 commonest diastolic murmurs: ?
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mitral stenosis and aortic regurgitation
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mitral stenosis vs aortic regurgitation: location
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apex vs aortic area
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mitral stenosis vs aortic regurgitation: radiation
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both NO
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mitral stenosis vs aortic regurgitation: shape
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both decrescendo
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mitral stenosis vs aortic regurgitation: pitch
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low vs high
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mitral stenosis vs aortic regurgitation: quality
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rumbling vs blowing
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mitral stenosis: increased S1
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associated
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mitral stenosis: Opening snap
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associated
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mitral stenosis: RV rock (right ventricular impulse at lower left sternal border)
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associated
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mitral stenosis: S3
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not associated
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mitral stenosis: Laterally displaced PMI
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not associated
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mitral stenosis: wide pulse pressure
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not associated
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mitral stenosis: bounding pulses
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not associated
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mitral stenosis: austin flint murmur
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not associated
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mitral stenosis: systolic ejection murmur
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not associated
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aortic regurgitation: increased S1
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not associated
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aortic regurgitation: Opening snap
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not associated
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aortic regurgitation: RV rock (right ventricular impulse at lower left sternal border)
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not associated
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aortic regurgitation: S3
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associated
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aortic regurgitation: Laterally displaced PMI
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associated
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aortic regurgitation: wide pulse pressure
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associated
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aortic regurgitation: bounding pulses
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associated
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aortic regurgitation: austin flint murmur
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associated
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aortic regurgitation: systolic ejection murmur
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associated
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