A 22-year-old woman presents to the physician for a two-week history of extreme fatigue. She has history of heavy menses. Vitals are: temperature 98.6F, HR 100, RR 16, BP 120/80. Bloods show: Hb 8 g/dL, Hct 24%, WBC 7,000/μL, platelets 200,000/μL. Her peripheral smear is shown.
Which of the following additional findings would be most likely in this patient?
1/6 holo-systolic murmur at 4th intercostal space left mid-clavicular line
2/6 holo-systolic murmur at lower left sternal border
2/6 mid-systolic murmur 2nd intercostal space right sternal border
3/6 to-and-fro murmur at left and right sternal borders
4/6 mid-late decrescendo diastolic murmur
Loud P2
Paradoxical splitting of S2
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Cut-to-the-chase Answer (0:50):
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HY USMLE Answer (8:56):
