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Patient 1 Patient 2

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Cardiology Murmurs

Pulmonic Stenosis

Pulmonic stenosis is virtually always congenital. However, it may occur as a result of acquired conditions such as rheumatic disease and carcinoid syndrome.
The systolic murmur of pulmonic stenosis is best heard over the left upper sternal border, is crescendo-decrescendo in shape, and radiates to the neck, left shoulder, and back.
With increasing severity, the murmur peaks later and lasts longer.

Patient 2

This patient has pulmonic stenosis and pulmonic regurgitation.

Pulmonic Stenosis

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