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Cardiovascular System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"Asymptomatic cardiac murmurs are a surprisingly common clinical finding and maybe both physiological (i.e. \u0027flow murmurs\u0027) and pathological in origin.\n\nClinical findings in favor of a pathological murmur include the presence of dysmorphic features, a harsh or a loud murmur and cyanosis or hypoxia upon pulse oximetry. A family history of congenital cardiac disease or a history of rheumatic fever (which may cause rheumatic valvular disease) should also arouse suspicion.\n\nIn this specific patient, a pathological murmur in the left lower sternal edge might be either due to a ventricular septal defect (VSD), or due to tricuspid regurgitation (TR). However, TR typically causes jugular venous distention with a prominent V wave, pulsatile liver and"}]}

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