fix(pe-guide): remove PVC entry from cardiac sounds library
PVCs are an ECG / rhythm finding, not a routine auscultation sample — what you actually hear on the stethoscope is an irregular rhythm with a compensatory pause, which depends on the underlying rate and is not teachable from a canned audio clip. The card was also backed by a synthesized sound, not a real recording. Removing both the card and the pvc.ogg asset.
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@ -307,11 +307,7 @@
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{ key: 'functional', src: '/audio/cardiac/functional-murmur.wav', title: 'Functional (innocent) murmur — adult female',
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where: 'Left sternal border, soft systolic',
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features: 'Soft systolic murmur in a structurally normal heart — often from increased cardiac output, thin chest wall, anemia, hyperthyroidism, or pregnancy.',
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clinical: 'Benign if it meets the 7 S criteria. Investigate if loud (≥3/6), holosystolic, diastolic, radiating, or with thrill / symptoms.' },
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{ key: 'pvc', src: '/audio/cardiac/pvc.ogg', title: 'Premature ventricular contractions (PVCs)',
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where: 'Apex; detect via irregular rhythm',
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features: 'Irregular rhythm with a compensatory pause after the early beat. Pulse may be irregular on palpation.',
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clinical: 'Common and usually benign in structurally normal hearts. Investigate if frequent (>10/min), symptomatic (syncope), or with exertional worsening. Workup: ECG, ambulatory monitor, consider echo.' }
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clinical: 'Benign if it meets the 7 S criteria. Investigate if loud (≥3/6), holosystolic, diastolic, radiating, or with thrill / symptoms.' }
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];
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// ────────────────────────────────────────────────────────────
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