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Walk the Even Hospital Database by book and chapter — the raw source passages that ground Ask, DDx, and the rest.
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©2013 UpToDate ® Print Email Abnormal auscultatory findings in patients with prosthetic heart valves Aortic valve Mitral valve Caged-ball (Starr-Edwards) Aortic diastolic murmur Low frequency apical diastolic murmur Decreased intensity of opening or closing click High frequency holosystolic murmur Single-tilting-disk (Bjork-Shiley or Medtronic-Hall) Decreased intensity of closing click High frequency holosystolic murmur Decreased intensity of closing click Bileaflet-tilting-disk (St. Jude Medical) Aortic diastolic murmur High frequency holosystolic murmur Decreased intensity of closing click Decreased intensity of closing click Heterograft bioprosthesis (Hancock or Carpentier-Edwards) Aortic diastolic murmur High frequency holosystolic murmur Adapted from Vongpatanasin, W, Hillis, LD, Lange, RA, N Engl J Med 1996; 335:407.