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A 35-year-old bank clerk presents to your office for evaluation of fatigue. She has a 15-pack-year history of smoking and had rheumatic heart fever in childhood. On auscultation of her heart, the S2 sound is widely split; that is, it persists like that throughout the respiratory cycle. What is the most likely cause of the wide and fixed S2 split?
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A 35-year-old bank clerk presents to your office for evaluation of fatigue. She has a 15-pack-year h...
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