Causes of Pulmonary Regurgitation • Dilatation of pulmonary valve secondary to pulmonary hypertension.• Secondary to mitral stenosis producing an early diastolic murmur (Graham Steel murmur).• Rheumatic fever.• Carcinoid syndrome. Symptoms • May be asymptomatic or symptoms of primary disease.• Features of right-sided heart failure. Signs • Left parasternal lift.• P2 may be soft.• Early diastolic […]

Idiotic look, Coarse face with thick lips, Large ears.