"The JVP is 5 cm above the sternal angle with the head of bed elevated Suggests possible congestive heart to 50°. Carotid upstrokes are brisk; a bruit is heard over the left carotid failure with possible left carotid oc-

artery. The PMI is diffuse, 3 cm in diameter, palpated at the anterior ax- clusion and mitral regurgitation illary line in the 5th and 6th intercostal spaces. S1 and S2 are soft. S3 present. Harsh 2/6 holosystolic murmur best heard at the apex, radiating to the lower left sternal border (LLSB). No S4 or diastolic murmurs."

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Coping with Asthma

Coping with Asthma

If you suffer with asthma, you will no doubt be familiar with the uncomfortable sensations as your bronchial tubes begin to narrow and your muscles around them start to tighten. A sticky mucus known as phlegm begins to produce and increase within your bronchial tubes and you begin to wheeze, cough and struggle to breathe.

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