Nurse stethoscope on nipple

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It's an uncommon sound, but can occur in patients with right bundle branch block. First, explain what you're going to do and make sure the patient is comfortable before you begin.

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They can be early, mid-diastolic, or late. Also medium-pitched, mid-systolic, and often harsh sound; louder on inspiration and when patient is supine.

We recommend pcs:



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