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Mrs. Gambino, a 38-year-old handcuff collector (see picture) consults her Chiropractor for evaluation of fatigue. Heart auscu
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Answer: (B) mitral stenosis

Rationale: In the case of mitral stenosis, the heart murmurs along witht he thrills. This is usually indicate the severity of the stenosis. The tricuspid gets blocked which causes blood flow to makes sound of the thrills.

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