Cardiology Murmurs

Front 1

aortic stenosis Murmur

Back 1

SEM RUSB mid/late peak, diamond shaped

Front 2

AS pulse waveform

Back 2

slowed carotid upstroke

Front 3

AS louder with
CXR shows

Back 3

squatting, expiration, after pvcs\LVE

Front 4

mitral stenosis clinical

Back 4

almost always rheumatic fever
hemoptysis
secondary pul htn

Front 5

AS sx

Back 5

sustained apical impulse
LVF, angina and SYNCOPE WITH EXERCISE

Front 6

Mitral stenosis murmur

Back 6

diastolic rumble, opening snap (only diastolic click!)
S1 sometimes 'snapping"

Front 7

Mitral stenosis a/v waves

Back 7

Large L a waves and attenuated y descent

Front 8

Mitral stenosis louder with
CXR shows

Back 8

Squatting, expiration
LAE

Front 9

Chronic Aortic Regurg murmur

Back 9

high pitched decrescendo mid to holodiastolic
also Austin Flint: low rumbling diastolic
mid sys click preceded by SEM
S3 if severe

Front 10

Chronic AR pulse waveforms

Back 10

Corrigan's pulse, water hammer pulse

Front 11

Chronic Aortic Regurg louder with
cxr shows

Back 11

Squatting, expiration
LAE

Front 12

Chronic AR etiol

Back 12

congenital, endocarditis, or dilated aortic root from : marfans VSD, arteritis, polychondritis, syphilis

Front 13

Acute Aortic Regurg murmur

Pulse waveforms

Back 13

short diastolic
S3 if severe

thready

Front 14

Acute AR louder with

cxr shows

Back 14

squatting expiration
normal

Front 15

MVP with murmur: chronic mitral regurg

Back 15

S: MVP: Late SEM follows click
chronic MR: pansystolic constant murmur
Midsystolic click: click/murmur syn
S3 if severe, S4

Front 16

MVP with murmur louder with

Back 16

Standing or valsalva:
longer--moves earlier into systole
sustained handgrip
expiration

Front 17

MVP with murmur cxr

etiol

Back 17

LAE

congenital, ischemia

Front 18

Acute mitral regurg murmur

Back 18

S: pansystolic decrescendo at apex

S3 if severe

Front 19

Acute MR a/v waves

Back 19

Large left v waves

Front 20

Acute MR louder with

Back 20

Squatting, expiration

normal cxr

Front 21

Acute MR etiol

Back 21

endocarditis MI with papillary muscle ischemia or rupture, chordae tendinae rupture

Front 22

acute MR ssx

Back 22

pul edema

Front 23

pulmonic stenosis murmur

Back 23

none, ejection click, persistently/widely split s2

Front 24

pulmonic stenosis waveforms

Back 24

Large right jugular a wave

Front 25

pulmonic stenosis louder with

CXR

Back 25

inspiration
RVH, enlarged pul artery

Front 26

pulmonic stenosis etiol

Back 26

congenital virtually always
rare RF/carcinoid
congenital does not progress

Front 27

tricuspid stenosis murmur

wave forms

Back 27

diastolic at LSB

giant R a waves

Front 28

Tricuspid stenosis louder with

cxr

Back 28

squatting, inspiration

RAE

Front 29

Tricuspid stenosis etiol

SSx

Back 29

rare, virtually always congenital, rare RF/carcinoid

SSx venous congestion

Front 30

Tricuspid Regurg murmur

waveforms

Back 30

systolic at LLSB

large Right v waves

Front 31

Tricuspid regurg louder with

cxr

Back 31

squatting, inspiration

RVE

Front 32

Tricuspid regurg etiol

SSx

Back 32

usu dilation from pul htn
other: RF, endocarditis (IVDA)
carcinoid
Liver pulsations, JVD

Front 33

VSD murmur
louder with
cxr

Back 33

holosystolic at LLSB
handgrip
RVE+LVE

Front 34

VSD etiol

ssx

Back 34

consider in new MI w new systolic murmur

Front 35

ASD;Ostium secundum murmur

Back 35

SEM at LSB (inc flow across pulmonic valve)

fixed split S2

Front 36

ASD-Ostium primum

Back 36

SEM at LSB also assoc w TR or MR murmur

fixed split S2

Front 37

coarctation of aorta murmur

cxr

Back 37

midsystolic to continuous murmur in upper back
rib notching, loss of aortic arch

Front 38

HCM murmur

waveforms

Back 38

harsh midsystolic
S4
brisk carotid upstroke which is bifid in 2/3

Front 39

HCM louder with

Back 39

standing, valsalva,
note sustained handgrip decreases murmur

Front 40

HCM cxr

SSX

Back 40

LVE

apical impulse w double or triple taps

Front 41

PDA murmur

cxr

Back 41

S+D continuous "machinery" murmur at LUSB
paradoxically split S2
calcification of ductus arteriosus

Front 42

Cannon a waves

Back 42

CHB, ventricular pacing

Front 43

S4 also in

Back 43

ischemic heart dx, diabetic cmp, hypertensive heart dx w concentric hypertrophy

Front 44

valve problems that dont need prophylaxix

Back 44

pulmonic stenosis, ostium secundum

Front 45

persistently wide split S2

Back 45

pul stenosis, PE, RBBB, LV ectopic beats
still varies w inspiraton but never goes away

Front 46

fixed split S2

Back 46

ASD

A2-P2 interval same during breathing cycle

Front 47

paradoxically split S2

Back 47

severe HCM, LBBB, RV ectopic beats, AS and PDA

(P2 before A2)