<prompt> A 25-year-old male who is IV drug user presents with a 3-week history of worsening lethargy and confusion. OE- PR: 130bpm and BP: 12080. CVS examination: raised JVP with large v-waves and a loud systolic murmur. A palpable, pulsatile liver is felt when hepato-jugular reflex is attempted. What type of murmur is most fitting with this patients presentation?Functional murmurTricuspid stenosisPulmonary stenosisTricuspid regurgitation  <response>: SIGN OF TRICUSPID REGURGITATION : Large V wave Loud systolic murmur Pulsatile liver Note: - When you read pulsatile liver think in terms of TR MCC of TR is Functional TR 