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{"167_85": {"text": [["QUESTION", "TYPE:", "CARDIOLOGIE", "ET", "CHIRURGIE", "CARDIOVASCULAIRE"], ["CLINICAL", "CASE:"], ["Si,", "chez", "un", "patient", "souffrant", "d'insuffisance", "cardiaque", "chronique,", "nous", "d\u00e9tectons", "des", "ondes", "v", "pro\u00e9minentes", "dans", "le", "pouls", "veineux", "jugulaire", "et", "si,", "\u00e0", "l'auscultation", "cardiaque,", "nous", "d\u00e9celons", "un", "souffle", "holosystolique", "dans", "la", "r\u00e9gion", "de", "l'appendice", "xipho\u00efde,", "accentu\u00e9", "par", "l'inspiration", "profonde."], ["Quelle", "est", "la", "maladie", "valvulaire", "responsable", "de", "cet", "examen", "physique", "?"], ["1-", "Insuffisance", "mitrale."], ["2-", "Insuffisance", "pulmonaire."], ["3-", "Insuffisance", "tricuspidienne."], ["4-", "Insuffisance", "aortique."], ["5-", "St\u00e9nose", "aortique."], ["BONNE", "R\u00c9PONSE", ":", "3"], ["S\u00e9miologie", "de", "base."], ["Cependant,", "raisonnement", "d'urgence", ":", "souffle", "systolique,", "quelque", "chose", "qui,", "en", "systole,", "devrait", "\u00eatre", "ferm\u00e9", "et", "ne", "l'est", "pas,", "ou", "qui", "devrait", "s'ouvrir", "et", "ne", "le", "fait", "pas", ":", "options", "1,", "3", "et", "5."], ["Et", "si", "l'on", "voit", "des", "r\u00e9percussions", "dans", "le", "pouls", "jugulaire,", "c'est", "qu'il", "doit", "y", "avoir", "des", "r\u00e9percussions", "dans", "les", "bonnes", "cavit\u00e9s."], ["Outre", "le", "fait", "que", "l'onde", "v", "appara\u00eet", "pendant", "la", "systole,", "alors", "que", "les", "oreillettes", "se", "remplissent", ":", "si", "le", "d\u00e9bit", "du", "VR", "augmente", "jusqu'au", "RA,", "l'onde", "v", "sera", "tr\u00e8s", "importante..."]], "labels": [["O", "O", "O", "O", "O", "O"], ["O", "O"], ["B-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "O", "O", "B-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise", "I-Premise"], ["O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O"], ["O", "B-Claim", "I-Claim"], ["O", "B-Claim", "I-Claim"], ["O", "B-Claim", "I-Claim"], ["O", "B-Claim", "I-Claim"], ["O", "B-Claim", "I-Claim"], ["O", "O", "O", "O"], ["O", "O", "O"], ["B-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim"], ["B-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim"], ["B-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim", "I-Claim"]]}}
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