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mitral stenosis - loudest at point A

-> LAD
Mid diastolic rumbling murmur with an OPENING snap
+ hoarness and dysphagia due to compression of recurrent laryngeal nerve since most
posteriro chamber

mitral regurgitation - loudest at point B


holosystolic murmur that radiates to AXILLA
best hears at APEX
seen in RH disease, papillary muscle RUPTURE

aortic stenosis - loudest at point C, closer to point E


systolic crescnedo decrescendo murmur
ejection murmur that RADIATES from the right carotids

aortic regurg - loudest at point D


diastolic decrescendo murmur
+ signs seen in patient
demusset sign - head bobbing
durosiez sign
WIDENED PP
muller

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