A 60-year-old female presents with a history of fatigue.
On examination she has a regular pulse, rate 80 beats per minute, jerky in
character. The JVP is not elevated her apex beat is displaced and thrusting in
nature. On auscultation there is a 3rd heart sound and there is a
pan systolic murmur at the apex radiating to the axilla. Lung bases are clear.
In this patient which of the following physical signs
suggests that the mitral regurgitation is severe?
3rd heart sound
Pan systolic murmur at the apex
Murmur radiating to the axilla