{"ops":[{"insert":"A 15 year old African immigrant is referred after a murmur was detected during a routine medical examination. He appears to be asymptomatic.\n\nHis birth and medical histories are unremarkable. There is no history of rheumatic fever.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-221_en.png"}},{"insert":"\n"}]}
