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The physical examination revealed grade 2/6 holosystolic murmur at the lower left sternal border. A thrill may be felt at the lower left sternal border (VSD), left upper sternal border (pulmonary valve stenosis) or suprasternal notch (aortic stenosis). She had a regular rhythm S3 and a localized 2/6 systolic murmur at the lower left sternal border. |
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