34 Y WOMAN
SYMPTOMS
DYSPNEA ON EXERTION
CHEST PAIN
LOWER LIMB EDEMAFATIGUE
LETHARGY
SIGNS
LOUD SPLIT S2
SYSTOLIC EJECTION MURMER
SIGNS LEADS TO PULMONARY HYPERTENSION
CXR SHOWS ENLARGED CENTRAL PULMONARY ARTERIES
RR 25/MIN
HR 105
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