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17 Cards in this Set
- Front
- Back
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S2 – fixed split
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ASD or right ventricular failure
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Paradoxical S2 split
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LBBB
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Loud P2
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Pulmonary HTN
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Early systolic ejection sound
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Caused by opening of A and P valves. Best heard with the diaphragm. Indicates CV disease
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Mid systolic click
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Mitral valve prolapse
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Opening Snap
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Caused by opening of stenotic mitral valve.
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Mitral regurg
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At apex, radiates to left axilla, holosystolic
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Tricuspid regurg
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Lower left sternal border, holosystolic
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VSD
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3, 4, 5 interspaces, wide radiation, holosystolic,
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Aortic stenosis
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2nd right interspace, radiates into neck, diamond shaped midsystolic murmur
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Hypertrophic cardiomyopathy
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3 and 4 left interspaces, radiates to apex, rapid rise in carotid pulse
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Pulmonic stenosis
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2 and 3 left interspace, radiates towards left shoulder, diamond shaped systolic murmur
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Aortic regurg
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Decrescendo diastolic murmur
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Mitral stenosis
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USE BELL – low pitched diastolic decrescendo rumble. OS sometimes initiates murmur
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Venous hum
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Continous murmur, loudest in diastole, caused by venous turbulence, BELL
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Pericardial friction rub
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3 components: atrial systole, ventricular systole, ventricular diastole, DIAPHRAGM
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PDA
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Continuous, loudest in late systole
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