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The murmur we heard at the upper right sternal edge radiates widely over the precordium. It was also well heard at the left sternal edge, both the upper and the lower. The character was similar, the intensity just a little bit diminished.

Let us now listen at the apex to see if there are any additional observations to make on auscultation. We are going to use the bell of the stethoscope and we are also going to use the carotid as the timing device. Let us listen together.
Choose the best description of the events at the time of the first sound: