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A Location

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 The point‐of‐maximal intensity (PMI) and distribution over which the murmur is heard should be defined.

 First defined as left‐ and/or right‐sided.

 Left‐sided murmurs are further defined as to the location on the chest wall.

 The murmur is further defined on how widely the sound is heard over the cardiac silhouette.Examples of this are very focal, focal, radiating, widely radiating.Very focal, valve‐associated murmurs may be detected at expected anatomic locations.

Manual of Equine Anesthesia and Analgesia

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