<prompt> Answer this question truthfullyHow is the physical examination for tricuspid stenosis conducted?  <response>: <reason> An elevated jugular venous pulse may be present. A wave is prominent due to the jugular venous pulsation Dont get confused with arterial pulsation. Kussmauls sign is positive. Jugular presystolic click may be heard. Y descent is slow. A tricuspid opening snap may be heard if it is not obscured by the sounds of mitral stenosis. First heart sound, S1 may be widely fixed. Second heart sound, S2 may be single .Mid diastolic murmur . The murmur is best heard over the left sternal border with rumbling character and tricuspid opening snap, with wide splitting of S1. The murmur of tricuspid stenosis increases in intensity with inspiration Carvallos sign, leg raising, squatting and exercise, due to the increased blood flow across the tricuspid valve during these maneuvers. Tricuspid regurgitation oftentimes presents in a similar location, it is delineated by a holosystolic murmur.Patients may experience hepatomegaly and ascites . 