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Physical examination Patient was eupneic, had good skin color, and pulses were palpated on all 4 limbs. Weight: 64 Kg, Height: 170cm, BP: 125/70 mm Hg, HR: 76 bpm. Aorta was not palpated at the supraesternal notch. Precordium showed no deformities or impulsions. Ictus cordis was not palpated. Normal heart sounds, with inconsistent splitting of second heart sound. Rough ejection systolic murmur +/++ in 3rd, 2nd, and 4th left intercostal spaces, not accompanied by thrills. Lungs and abdomen: no abnormalities. The electrocardiogram showed normal sinus rhythm and

Caso 2/2008: homem de 22 anos com comunicação interventricular de dimensões persistentemente pequenas