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A 22-year-old man comes to the clinic for a routine physical. The patient has no medical problems and takes no medication. He does not use tobacco, alcohol, or illicit drugs. He plays on his college football team and participates in intense training sessions and weekly games. Review of systems is unremarkable. Blood pressure is 120/76 mm Hg, pulse is 68/min, and respirations are 15/min. BMI is 28 kg/m2. Blood pressures in the upper and lower extremities are equal. There is no jugular venous distension. Carotid upstrokes are brisk. There is a grade 2/6 early systolic murmur along the left sternal border. The murmur decreases in intensity with hand grip and passive leg elevation. Lung sounds are normal without crackles or wheezes. Echocardiogram is most likely to demonstrate which of the following findings?
Bookkeeping Services
Professional services offered to maintain and manage the financial records and transactions of a business accurately.
Audits
Systematic examinations and verifications of a company's financial and accounting records and operations.
Nonmaterial Way
A term often related to philosophical, spiritual or cultural practices that involves something intangible, not based on material or physical objects or needs.
Liability
The condition of having legal accountability, especially regarding debts or legal duties.
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