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20 Cards in this Set
- Front
- Back
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holysistolic murmer
Grade 2/6 high pitched radiating to apex creshendo decreshendo |
aortic stinosis
will have a click after S1 if congenital bicusped valve |
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Where do aortic sounds radiate to
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rite sternal border at second intercostal space
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Where do you listen to the pulmonic valve
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left sternal border second intercostal space
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where do you listen to mitral valve
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midclavicular line, 4th intercostal space
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What is the S1 sound
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mitral valve closing
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what part of the cycle is between S1 and S2
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sistaly
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what is the order of calve closer
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MTAP
Mitral Ttricuslpad Aaortic Puplminary |
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in a takicardic state how do you tell systole from diastole
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feal the pulce. it happends during sistoly
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holosystolic
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mitral regergitation
tricuspid regurgitation ventricular septal defects |
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crescendo decreshendo systolic murmer
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aortic stenosis
flow murmer pulmonic stenosis |
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when does a creshendo de-creshendo aortic stinosis murmer
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just after S1
there is a periad of isovolumic contraction there is alwais a small rag from S1 to murmer |
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how is the timing from inicent flow murmer of the aortic valve diffore from aortic stinosis
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the creshendo peaks early in an inecent flow murmer
in aortic stinosis the creshendo will peak in mis systoly and it tends to be lowder |
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how do you diforenciate aortic stenosis from slow murmer
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real the carotid
aortic stenosis: pulsis parvus et tardus. late max impulse of corotid pulce aortic stinosis will radiate to the right corotid |
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Aortic stenosis what are the finings?
you must look to the finding to rule out flow murmer |
- presure in LV --> consentric hypertrfy
- creshendo de-creshendo systolic murmer - late slow carotid pulce - polonged apical impulse - abnormal EKG do to hypertrophy of LV |
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when is there an injection click when the aortic valve opens
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when you have a bicusped valve
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hylosistolic murmer
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mitral regurge
VSD tricuspid regerge |
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Where do you hear mitral regurgitation
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at the apex
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where do you heare the holysistolic murmer of a ventricular septil defect
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left sternal border
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what menuver tan determin mitral regurge from trisucped regerge
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when you take a bredth in you have an increse in venus return
this will make the tricuspid murmer louder on insporation |
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which holysistolic murmer gets louder when you inspier
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tricuspid regurge called a carbellow sign
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