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Medicine C.V.S fe5d1403

All of the following clinical finding are consistent with severe mitral stenosis EXCEPT-

A
Atrial fibrillation
B
Pulsatile liver
C
Opening snap late after S2
D
Pulmonary vascular congestion
High-Yield Explanation
In severe Mitral Regurgitation, Clinical features are : Atrial fibrillation, Pulsatile liver, Pulmonary vascular congestion. * In atrial fibrillation, First hea sound is loud and can be palpable(tapping apex). *An opening snap may be audible and moves closer to the second sound as the stenosis becomes more severe and left atrial pressure rises. Reference : Davidson, 23rd Edition, page no : 518.

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