Icm Fall Cv I

Front 1

what murmurs can he heard in the R 2nd intercostal space (aortic area)

Back 1

1. aortic stenosis
2. flow murmur
3. aortic sclerosis

**systolic murmers

Front 2

what murmers can he heard in the L 2 intercostal space?

Back 2

1. pulmonic stenosis
2. flow murmur- artial septal defect

*systolic ejection murmur

Front 3

what murmers can be heard at the tricuspid area

Back 3

1. tricuspid regurg
2. vent septal defect
3. tricuspid stenosis
4. atrial septal defect

Front 4

what m urmers can be heard at the left sternal border

Back 4

1. Aortic Regurg
2. Pulmonic regurg
3. hypertrophic cardiomyopathy

Front 5

list the murmers heard in the mitral area (apex)

Back 5

1. mitral regurt
mitral stenosis

Front 6

how can you tell the difference btwn Mitral Regurg and Ventricular septal defect, both are holosystolic

Back 6

1. MR: high pitch, heard in mitral area and radiates to axilla

2. VSD: harsh sounding, heard at tricuspid area

Front 7

characteristics of Right sided heart failure

Back 7

peripheral edema
JVD
hepatomegaly
hypotension

Front 8

characteristics of Left sided heart failure

Back 8

pulmonary edema
hypertrophy

Front 9

normal wedge pressure

Back 9

<12
(2-10)

Front 10

normal right atrial pressure

Back 10

<5
(2-8)

Front 11

normal LV end diastolic pressure

Back 11

<130/10
(100-140)/(3-12)

Front 12

normal pulmonary artery pressure

Back 12

<25/10

Front 13

what is a normal ejection fraction

Back 13

55%

Front 14

what are the 3 things that determine SV

Back 14

1. Preload
2. Afterload
3. contractility

Front 15

what murmur is due to rheumatic fever

Back 15

1. Mitral stenosis
2. Aortic Regurg

**both diastolic

Front 16

what murmur decreases in intensity with hand grip/

Back 16

HCM

**hypertrophic cardiomyopathy, this also is intensified with valsalva along with MVP

Front 17

what murmurs are increased with valsalva

Back 17

1. HCM
2. MVP

**also increased with standing, quieter with sitting

Front 18

whats a great way to get someones HCM to be heard

Back 18

get them all worked up! Valsalva, stand,

**hand grip will DECREASE

**makes sence, these ppl die suddenly in the middle of sporty

Front 19

what does aortic stenosis sound like

Back 19

systolic murmur that cressendos
radiates to carotid
heart in aortic area
Associated with ASH

Front 20

what does Aortic regurg sound like/?

Back 20

immediate high pitch blowing diastolic mumrur
-heard in left sternal border

Front 21

how can you tell aortic regurg from aortic stenosis

Back 21

Stenosis: systilic, cresendo

Regurg: diastolic, immediate loud whistle

Front 22

what are my 2 diastolic murmurs

Back 22

1. Aortic Regurg: immediate high pitch whistle

2. Mitral Stenosis: mid diastolic with opening snap

Front 23

what are the 2 holosystolic murmurs

Back 23

1. Mitral Regurg: high pitch, heard in mitral area, radiates to axilla

2. VSD: harsh sounding in tricuspid area

Front 24

what murmer is heard best when the pt leans forward

Back 24

ASD

Front 25

what does hypertrophic cardiomyopathy sound like

Back 25

mid systolic murmur- no openinc clap or things like that

Heard at L sternal border

Front 26

what does mitral regurg sound like

Back 26

holosystolic murmur, high pitch blowing

*heard in mitral area
*radiates to axilla
*VSD is also holosystolic but is more harsh sounding

Front 27

what does a VSD sound like

Back 27

holosystolic murmur, harsh sounding

*heard in tricuspid area

Front 28

what does MVP soudn like

Back 28

mid systolic click then murmur that is louder at S2
usually benign, can be due to endocarditis

I i---I

Front 29

what does PDA sound like?

Back 29

countinuous murmur,

Blood from aorta to pulm a

Front 30

what does mitral stenosis sound like

Back 30

mid diastolic murmur with opening click

Front 31

what are 3 common clinical presentations of Aortic stenosis

Back 31

Angina
Syncope
Heart Failure (ASH)

Aortis stenosis is a cresendo midsystolic murmur heard in the aortic area that radiates into the carotid

Front 32

what murmus is heard in the Aortic Area

Back 32

1. Aortic stenosis/sclerosis

Front 33

what heart murmur is head in the pulmonic area

Back 33

1. pulmonic stenosis

Front 34

what heart murmur is heard in the left sternal border

Back 34

1. Aortic regurg
2. Pulmonic regurd
3. HCM

Front 35

what murmur is heard in the tricuspid area

Back 35

1. Tricuspid stenosis
2. Tricuspid regurg
3. VSD
4. ASD

Front 36

what murmur is heard at the mitral area (apex)

Back 36

1. Mitral regurg
2. Mitral stenosis