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