NCC Pediatrics Residency at Walter Reed-Bethesda
impulse, a systolic ejection murmur heard in the pulmonic area and along the left sternal border, and fixed. splitting of the second heart sound. These findings are due to an abnormal left to right shunt through the defect, creating a volume overload on the right side. The increase in volume on the right side creates the flow murmur, ................
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