Mitral valve disease Quiz: Ace Your Exams
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A 25-year-old man comes to his primary care physician complaining of occasional palpitations and dizziness for three months. He discloses associated exertional dyspnea. Temperature is 36.7°C (98°F), pulse is 80/min, and blood pressure is 125/86 mmHg. On physical examination, the patient’s height is 200 cm (6’5’’) and BMI is 17.5 kg/m2. An increased arm span to height ratio is noted. Examination of the back demonstrates scoliosis. Cardiac auscultation reveals a mid systolic murmur over the left 5th intercostal space midclavicular line. Which of the following will decrease the intensity and duration of the murmur?
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