For Finals Flashcards
1
Q
What can you hear when auscultating AORTIC AREA?
A
Systolic murmurs
- -AORTIC STENOSIS IS BIGGIE
- -flow murmur
- -aortic valve sclerosis
2
Q
What can you hear when auscultating PULMONIC AREA?
A
Systolic ejection murmurs
- -Flow murmur (ASD* or PDA**)
- -Pulmonic stenosis (rare)
- You’re not hearing blood flow through the ASD itself, just the increased flow through the right heart that it causes.
- *Best heard a little superior.
3
Q
What can you hear when auscultating TRICUSPIC AREA?
A
Pansystolic Murumrs
- -Tricuspid regurg
- -VSD
Diastolic Murmurs
- -Tricuspid stenosis
- -ASD*
*You’re not hearing blood flow through the ASD itself, just the increased flow through the right heart that it causes.
4
Q
What can you hear when auscultating MITRAL AREA?
A
Systolic Murmur
–MR
Diastolic Murmur
–MS
5
Q
What can you hear when auscultating the Left sternal border?
A
Systolic Murmur
–Hypertrophic cardiomyopathy (what do you hear?)
Diastolic Murmurs
- -AR
- -PR
6
Q
Which are the systolic abnormal heart sounds?
A
AS/PS, MR/TR, VSD
7
Q
Which are the diastolic abnormal sounds?
A
AR/PR, MS/TS
8
Q
MS
- -sounds like?
- -heard best at?
- -can enhance sounds with?
A
- -holosystolic blowing
- -best heard at apex—>axilla
- -incr TPR (squat, hand grip) or LA return (expiration)
9
Q
TS
- -sounds like?
- -heard best at?
- -can enhance sounds with?
A
- -holosystolic blowing
- -best heard at tricuspid area
- -incr RA return (inspiration)
10
Q
AS
- -sounds like?
- -heard best at?
- -can enhance sounds with?
A
- -systolic ejection click —> cres-decres murmur
- -aortic area —> carotids
- -? decr sounds with incr TPR (e.g. hand grip)
11
Q
VSD
- -sounds like?
- -heard best at?
- -can enhance sounds with?
A
- -holosystolic harsh sounding
- -best heard at tricuspid area
- -incr w/ incr afterload (hand grip)
12
Q
MVP
- -sounds like?
- -heard best at?
- -can enhance sounds with?
A
- -midsystolic click —> late systolic cresc
- -best heard at mitral area?
- -enhanced by decr VR (e.g. valsalva or standing)
13
Q
AR
- -sounds like?
- -heard best at?
- -can enhance sounds with?
A
- -diastolic, blowing, decrescendo
- -best heard at left sternal border
- -enhanced by incr TPR (hand grip)
14
Q
MS
- -sounds like?
- -heard best at?
- -can enhance sounds with?
A
- -diastolic: Opening snap —> rumbling late diastolic murmur
- -enhanced by incr LA return (expiration)
15
Q
PDA
A
- -continuous machine-like
- -best heard at L infraclavicular area
- -?
