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Areas of highest intensity for common paediatric murmurs (7) Area Murmur Upper right sternal border Aortic stenosis, venous hum Upper left sternal border Pulmonary stenosis, pulmonary flow murmurs, ASD, PDA Lower left sternal border Still's murmur, VSD, tricuspid regurgitation, HOCM, subaortic stenosis Apex Mitral regurgitation Table VI.
Cardiac examination showed grade 3/6 holosystolic murmur at the lower sternal border, which radiated to the axilla, and grade 4/6 early diastolic murmur at the upper left sternal border.