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Explain Fixer1 Split S in second heart ?
A2P2 interval is wide and persistent and doesn't change during respiratory cycle. It is an auscultatory hallmark of uncomplicated ostium secondly ASD.
In ASD, the P, moves with inspiration only due to increased RV volume, as there is significant-impendence effect when lung vessels are overfilled due to shunt flow. The A, may either not move at all or move in same direction as P, during inspiration because the LV doesn't become smaller. It may become larger because increased blood volume is RA will increase RA pressure and thereby reduce left to right shunt.
Family Centred Activities to Ensure Harmonious Relationship: Between various members of the family attitudes of mutual trust, love and respect for one another need to be fo
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While studying evolution, a student comes across a cladogram that includes clades like amphibia, reptilia, aves, and mammalia. What must be the basal clade?
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