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22 Cards in this Set
- Front
- Back
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Aortic Systolic murmur
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Aortic stenosis
flow murmur aortic valve sclerosis |
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Left sternal border Diastolic murmur
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aortic regurg
pulmonic regurg |
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left sternal border Systolic murmur
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hypertrophic cardiomyopathy
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Pulmonic area systolic ejection murmur
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Pulmonic stenosis
Flow murmur: ASD, PDA |
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Tricuspid area Pansystolic murmur
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Tricuspid regurgitation
VSD |
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Tricuspid area Diastolic murmur
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Tricuspid stenosis
ASD |
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Mitral area systolic murmur
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mitral regurgitation
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Diastolic murmur
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mitral stenosis
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Inspiration
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increase intensity of right heart sounds
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expiration
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increased intensitiy of left heart sounds
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Hand grip
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- increased systemic vascular resistance
- increased intensity of MR, AR, VSD, MVP murmurs - decreased intensity of AS, hypertrophic cardiomyopathy murmurs |
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Valsalva
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- decreased venous return
- decrease intensity of most murmurs increased intensity of MVP, hypertrophic cardiomyopathy murmurs |
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Rapid squatting
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- increased venous return
- increased preload - increased afterload with prolonged squatting - decreased intensity of MVP, hypertrophic cardiomyopathy murmur |
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Systolic heart sounds
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M/T regurgitation
A/P stenosis |
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Diastolic heart sounds
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M/T stenosis
A/P regurgitation |
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holosystolic high pitched blowing murmur
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M/T regurg
enhanced at expiration (M) enhanced at inspiration (T) |
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crescendo-decrescendo with ejection click
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aortic stenosis
syncope angina dyspnea on exertion |
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holosystolic, harsh sounding murmur
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VSD
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mid systolic click with late systolic crescendo
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mitral valve prolapse
- predispose to infective endocarditis - myxomatous degeneration - rheumatic fever - chordae rupture - enhanced by valsalva (dec venous return) |
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high pitched diastolic decresendo
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- Aortic regurg
- aka: blowing - wide pulse pressure - bounding pulses; head bobbing - hand grip increases - vasodilator decreases |
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opening snap
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- Mitral stenosis
- enhanced by inc LA return (expiration) |
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continuous machine like murmur
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PDA
- loudest at S2 - due to congenital rubella - indomethacin to close - PGE to open |
