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@arafat68602: #দিবালার_ভক্ত_গুলো_কই🔥 #আর্জেন্টিনার_লাভার_গুলো_কই🙋♀️🇦🇷
ᴀʀᴀꜰᴀᴛ💥🤌
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Region: BD
Thursday 13 August 2026 13:52:56 GMT
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💫★21★💫 :
ফুটবলের নায়েক
2026-08-18 02:46:45
3
MD Shawon islam :
2026-08-18 06:24:43
1
Cuti Romero🥷Lisandro Martinez :
বাঘা বাঘা স্টাইকারদের খেয়ে দেয়
2026-08-18 04:14:37
2
Nikitanowrin564 :
দিবালা☺️☺️😊
2026-08-18 03:04:52
3
MD fareed khan :
2026-08-14 12:08:12
1
userakvpcmpivn :
2026-08-17 02:31:30
1
🫣নষ্ট জগতের🤫শ্রেষ্ঠ আমি🤕 :
2026-08-16 08:13:33
1
Eyakub Soiyal :
2026-08-18 06:06:16
0
rumon.newaz :
🥰
2026-08-15 08:53:39
1
Sk Anik 9155 :
2026-08-14 11:19:25
1
Mohammad Rakib :
2026-08-18 06:43:17
0
S A H A J A D💐 :
2026-08-18 03:13:03
0
꧁࿇Nasir࿇꧂ :
2026-08-14 01:29:49
0
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A 52-year-old man with a history of chronic atrial fibrillation and pulmonary hypertension presents with: • Progressive fatigue • Lower-limb edema • Dyspnea on exertion • Jugular venous distension • A holosystolic murmur at the right lower sternal border that becomes louder with deep inspiration ❓ What is the most likely diagnosis? A) Mitral stenosis B) Severe tricuspid regurgitation C) Aortic regurgitation D) Restrictive cardiomyopathy 💡 Answer: B — Severe Tricuspid Regurgitation 🔍 Key clue: A holosystolic murmur heard along the lower sternal border that increases with inspiration is characteristic of tricuspid regurgitation — Carvallo's sign. Pulmonary hypertension can cause right ventricular pressure overload, leading to functional tricuspid regurgitation and systemic venous congestion. 📌 Exam pearl: TR → Holosystolic murmur + lower sternal border + ↑ with inspiration 👇 Leave your answer in the comments! 🎓 Medical education only. #TricuspidRegurgitation #Cardiology #HeartMurmur #CarvallosSign #PulmonaryHypertension #RightHeartFailure #JVD #ClinicalSigns #CardiovascularExamination #MedicalEducation #MedStudent #MedicalStudents #MedInstagram #DoctorInstagram #CardiologyTok #ClinicalMedicine #Medicine #MedicalReels #MedicalQuiz #LearnMedicine
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