SOHM LIBRARY - SOHM Library

Occasionally an early systolic ejection click, (just after the first heart sound). This will mean that the valve is mobile. 5. Murmur: Harsh mid-systolic ejection murmur. Maximal in the 2nd right intercostal space and radiates to the carotids arteries. Accentuated by sitting up and leaning forward with the breath held in expiration. ................
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