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Eleven-year-old girl seen after bicycle accident

Diagnosis

Clicks

Is there a click?



Splitting

If the second heart sound is split, is this splitting fixed (with respiration)?



Murmur

Is there a murmur?



Murmur Features

Where is the murmur best heard?








Is the murmur pansystolic?




Is it harsh?




Where is the murmur best heard?



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