Which of the following is not a clinical sign associated with mitral stenosis?
Correct Answer: Pan-systolic murmur which radiates to axilla
Description: Malar flush, atrial fibrillation, and a tapping apex beat which occurs secondary to pulmonary hypertension, are all clinical signs associated with mitral stenosis. On auscultation of the precordium, a mid-
diastolic murmur (±opening snap, representing a mobile valve) is heard rather than a pan-systolic murmur which is
usually heard in mitral regurgitation, tricuspid regurgitation and ventricular septal defects.
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