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Answers from the course materials
Why does a holosystolic murmur at the apex radiate to the axilla?
That pattern is mitral regurgitation. The regurgitant jet runs from the left ventricle back into the left atrium, which sits posteriorly and to the left — so the sound carries towards the axilla. [1]
In a chronic case, also look for a soft S1 and a displaced apex beat. [2]
- [1]Cardiovascular system.pdfp.42
- [2]Clinical examination.pdfp.118
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ST-segment elevation in leads II, III and aVF. Which artery is most likely occluded?
Right coronary artery
Left circumflex artery
Explanation
The inferior leads localise to the right coronary artery.
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