Murmur of VSD,”Harsh, holosystolic murmur with thrill at 4th left intercostal spaceMurmur decreases with Valsalva and handgrip The smaller the defect

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Murmur of VSD,”Harsh, holosystolic murmur with thrill at 4th left intercostal spaceMurmur decreases with Valsalva and handgrip The smaller the defect

the louder the murmurSternal lift secondary to RV enlargement”