Cardiovascular: Murmurs Flashcards

1
Q

Type of murmur for mitral regurgitation

A

pansystolic

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2
Q

Location of mitral regurgitation

A

apex

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3
Q

Radiation of mitral regurgitation

A

to left axilla, less often to left sternal border

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4
Q

Intensity of mitral regurgitation

A

soft to loud; if loud associated w/ apical thrill

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5
Q

Pitch of mitral regurgitation

A

medium to high

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6
Q

Quality of mitral regurgitation

A

harsh, holosystolic

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7
Q

Aids for mitral regurgitation

A

does not become louder w/ inspiration

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8
Q

Type of murmur for tricuspid regurgitation

A

pansystolic

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9
Q

Location of tricuspid regurgitation

A

lower left sternal border

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10
Q

Radiation of tricuspid regurgitation

A

to the right of sternum, to xiphoid area, & perhaps left midclavicular line, but NOT into axilla

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11
Q

intensity of tricuspid regurgitation

A

variable

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12
Q

Pitch of tricuspid regurgitation

A

medium

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13
Q

Quality of tricuspid regurgitation

A

blowing, holostystolic

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14
Q

Aids for tricuspid regurgitation

A

intensity may increase slightly w/ inspiration

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15
Q

Type of murmur for ventricular septal defect

A

pansystolic

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16
Q

Location of ventricular septal defect

A

3rd, 4th, 5th intercostal spaces

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17
Q

Radiation of ventricular septal defect

A

of ten

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18
Q

Intensity of ventricular septal defect

A

often very loud, w/ a thrill

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19
Q

Pitch of ventricular septal defect

A

high, holosystolic

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20
Q

Quality of ventricular septal defect

A

often harsh

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21
Q

Type of murmur for innocent/physiologic murmurs

A

midsystolic

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22
Q

Location of innocent/physiologic murmurs

A

2nd-4th left interspace between left sternal border & apex

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23
Q

Radiation of innocent/physiologic murmurs

A

none

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24
Q

Intensity of innocent/physiologic murmurs

A

grade 1-2, possibly 3

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25
Q

Pitch of innocent/physiologic murmurs

A

soft to medium

26
Q

Quality of innocent/physiologic murmurs

A

variable

27
Q

Aids for innocent/physiologic murmurs

A

usually decreases or disappears on sitting

28
Q

Type of murmur for aortic stenosis

A

midsystolic

29
Q

Location of aortic stenosis

A

right 2nd interspace

30
Q

Radiation of aortic stenosis

A

often to carotids, down left sternal border, even to apex

31
Q

Intensity of aortic stenosis

A

sometimes soft but often loud w/ a thrill

32
Q

Pitch of aortic stenosis

A

medium, hard, crescendo-decrescendo

33
Q

Quality of aortic stenosis

A

often hard, may be more musical at apex

34
Q

Aids for aortic stenosis

A

heard best w/ patient sitting & leaning forward

35
Q

Type of murmur for hypertrophic cardiomyopathy

A

pathologic

36
Q

Location of hypertrophic cardiomyopathy

A

3rd-4th left interspace

37
Q

Radiation of hypertrophic cardiomyopathy

A

down the left sternal border to the apex, possibly to the base, but NOT to the neck

38
Q

Intensity of hypertrophic cardiomyopathy

A

variable

39
Q

Pitch of hypertrophic cardiomyopathy

A

medium

40
Q

Quality of hypertrophic cardiomyopathy

A

harsh

41
Q

Aids for hypertrophic cardiomyopathy

A

decreases w/ squatting, increases w/ straining down from Valsalva & standing

42
Q

Type of murmur for pulmonic stenosis

A

pathologic

43
Q

Location of pulmonic stenosis

A

2nd-3rd left interspace

44
Q

Radiation of pulmonic stenosis

A

if loud, toward the left shoulder & neck

45
Q

Intensity of pulmonic stenosis

A

soft to loud; if loud associated w/ thrill

46
Q

Pitch of pulmonic stenosis

A

medium, crescendo-decrescendo

47
Q

Quality of pulmonic stenosis

A

often harsh

48
Q

Type of murmur for aortic regurgitation

A

diastolic

49
Q

Location for aortic regurgitation

A

2nd-4th left interspace

50
Q

Radiation of aortic regurgitation

A

if loud, to apex, perhaps to right sternal border

51
Q

Intensity of aortic regurgitation

A

grade 1-3

52
Q

Pitch of aortic regurgitation

A

high, use diaphragm

53
Q

Quality of aortic regurgitation

A

blowing, decrescendo, may be mistaken for breath sounds

54
Q

Aids for aortic regurgitation

A

heard best w/ patient sitting, leaning forward w/ breath held after exhalation

55
Q

Type of murmur for mitral stenosis

A

diastolic

56
Q

Location of mitral stenosis

A

usually limited to apex

57
Q

Radiation of mitral stenosis

A

little or none

58
Q

Intensity of mitral stenosis

A

grade 1-4

59
Q

Pitch of mitral stenosis

A

decrescendo, low-pitched rumble, use bell

60
Q

Aids for mitral stenosis

A

placing bell exactly on apical impulse, turning patient into left lateral position & mild exercise all help make murmur audible; heard better in exhalation