Heart murmur: Characteristics

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•  Site
•  Character
•  Radiation, Respiratory variation
•  Intensity (grade)
•  Pitch, Positional variation
•  Timing

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Murmur of mitral stenosis: Low pitched, rough rumbling mid-diastolic murmur with pre-systolic accentuation of grade III intensity, best heard in the mitral area without any radiation with the bell of the stethescope and the patient lying in the left lateral position with breath held in expiration.