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7 Cards in this Set

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Holosystolic, high pitched "blowing murmur"
Holosystolic, high pitched "blowing murmur"

Mitral / tricuspid regurgitation
**mitral - apex, radiates to axilla
**tricuspid - tricuspid area, radiates to rt sternal border
ejection click followed by crescendo-decrescendo systolic
ejection click followed by crescendo-decrescendo systolic

Aortic stenosis
-click - abrupt halting of valve leaflets
-LV pressure >> aortic during systole
-radiates to carotids
Holosystolic, harsh-sounding murmur; tricuspid area
Holosystolic, harsh-sounding murmur; tricuspid area

VSD
Late systolic crescendo murmur, midsystolic click, loudest at S2
Late systolic crescendo murmur, midsystolic click, loudest at S2

Mitral proplapse
-Most frequent valvular lesion
-usually benign
-mid click due to sudden tensing of chordae tedinaea
-can predispose to infective endocarditis

Possible causes:
-myxomatous degeneration
-rheumatic fever
-chordae rupture
Immediate, high-pitched "blowing" diastolic murmur
Immediate, high-pitched "blowing" diastolic murmur

Aortic regurgitation (AR)
-wide pulse pressure when chronic
-bounding pulses / head bobbing

Possible causes:
-often due to aortic root dilation
-bicuspid aortic valve
-rheumatic fever
delayed late diastolic rumbling murmur
delayed late diastolic rumbling murmur

Mitral stenosis
-follows opening snap (abrupt half in leaflet motion, after rapid opening, due to fusion at leaftips)
-LA >> LV during diastale

Possible causes:
-2ndary to rheumatic fever
-chronic MS --> LA dilation
continuous machine-like murmur
continuous machine-like murmur

PDA
-loudest at S2
-often due to congenital rubella
-prematurity