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15 Cards in this Set

  • Front
  • Back
Diastolic apical rumble & opening snap.

Feel for RV lift 2' to RVH
Mitral stenosis
Late systolic murmur w/ midsystolic click (Barlow's syndrome)

Valsalva--> click earlier in systole, murmur prolonged
Mitral valve prolapse
High-pitched apical blowing holosystolic murmur radiate to axilla

Laterally displaced PMI, systolic thrill
Mitral regurgitation
Diastolic rumble often confused w/ MS

Murmur louder w/ inspiration
Tricuspid stenosis
High-pitched blowing holosystolic murmur at left sternal border

Jugular and hepatic pulsation, murmur louder w/ inspiration
Tricuspid regurgitation.
Midsystolic crescendo-decrescendo murmur at second right interspace, radiate to carotid and apex, w/ S4 due to atrial kick, systolic ejection click

Pulsus parvus et tardus = peripheral pulses are weak and late compared to heart sounds, systolic thrill second interspace
Aortic stenosis
Peaks earlier in systole than AS
Aortic clerosis
-Blowing early diastolic at aorta and LSB
-Austin Flint = apical diastolic rumble like mitral stenosis but no opening snap
-midsystolic flow murmur at base

Laterally displaced PMI, wide pulse pressure, pulsus bisferiens (double-peaked arterial pulse)
Aortic regurgitation
Systolic murmur at apex and left sternal border that is poorly transmitted to carotid

Murmur increases w/ standing and Valsalva
Hypertrophic subaortic stenosis
Midsystolic ("ejection")
-aortic stenosis/sclerosis: crescendo-decrescendo, second right interspace.
-Pulmonic stenosis: second left interspace, EKG--> RVG
-Any high flow state--> flow murmur: aortic regurgitation (listen for other AR murmurs), A-S defect (fixed split S2), anemia, pregnancy, adolescence
Late systolic
-aortic stenosis: worse dz--> later peak
-mitral valve prolapse: apical murmur
-Hypertrophic subaortic stenosis: murmur louder w/ Valsalva
-Mitral regurgitation: radiates to axila
-V-S defect: diffuse across precordium
-Tricuspid regurgitation: louder w/ inspiration
Early diastolic
-aortic regurgitation: blowing oartic murmur
-pulmonic regurgitation: Graham Steell murmur
-Mitral stenosis: opening snap, no change w/ inspiration
-aortic regurgitation (Austin Flint murmur): apical, resemble MS
-A-S defect: listen for fixed split S2, diastolic rumble
-Tricuspid stenosis: louder w/ inspiration
-Patent ductus: machinery murmur loudest in back
-Mammary souffle: hamless, heard in pregnancy due to increased flow in mammary artery
-coarctation of aorta: upper/lower extremity pulse discrepancy
-A-V fistula