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Congenital Heart Disease

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20120805

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Congenital Heart Disease




A 32 year-old white femaile has a heart murmur since childhood and takes regular endocarditis prophylaxis. She is admitted after a motor vehicle accident.

On Examination:
BP=126/76
P=88/m
Bruising over chest wall from steering wheel injury
No cyanosis or clubbing
CVS: JVP not elevated, Apex is displaced down and out
S1 soft, narrowly split S2, soft LVS3, no S4
5/6 pansystolic murmur over precordium. soft mid-diastolic murmur at
apex
Chest: Clear
Abdomen: Soft nontender, no organomegaly

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