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Pulmonic Stenosis (view source)

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== Diagnosis ==

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===Physical Examination===

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* Left-sided, systolic murmur with point of maximal intensity over the heart base

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* Grade of murmur correlates with severity of stenosis for fixed obstructions

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* Apex beat may be more palpable on the right hemithorax than the left if severe right ventricular hypertrophy is present.

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History and clinical signs can be indicative of heart disease. Upon physical examination, it is likely that a systolic crescendo-decrescendo ejection murmur over pulmonary artery in the left heart base will be heard. There will usually be normal femoral pulses. There may be signs of right sided congestive heart failure, such as ascites and jugular distension and ~~jugular pulses~~.

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There may be signs of [[Heart Failure, Right-Sided|right sided congestive heart failure]], such as ascites and jugular venous distension and hepatojugular reflux.

'''Radiographic''' findings may include right ventricular enlargement (DV view seen at 1 o'clock), right atrial enlargement and pulmonary artery enlargement (DV view seen at 2 o'clock). Changes are seen most clearly on the dorsoventral view.

Lwilkie

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