Cardiovascular and peripheral vascular

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Reference no: EM133767578

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Respiratory: Chest - dullness and decreased breath sounds at the right base; bibasilar rales. Cardiovascular/peripheral vascular: JVD to the angle of the jaw in the sitting position. LV impulse diffuse, laterally displaced. Parasternal lift present. S2 physiologically split, S3 at apex, grade II/VI pansystolic murmur at apex; 2+ pedal edema bilaterally. Gastrointestinal: Abdomen - liver enlarged. Patient has discomfort in upper right abdomen.

Reference no: EM133767578

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