Heart Murmur

Question 1

Aortic stenosis

Answer 1

Happens in b/w S1-S2
Aortic klick
Cershindo-decrashindo murmur
Occured in aortic valve

Question 2

Mitral regurgitation

Answer 2

Pan systolic ( happens the whole time during stenosis)

Closing issue

Murmur happens at S1

Mitral valve leak

flat sounding continues throughout S1S2

Question 3

Mitral valve prolapse

Answer 3

Klick

Left atrium

Mitral valve pressure breaks held by cordin tendineae

Mid systolic click after S1 and before S2

Heard at the apex

Question 4

Aortic regurgitation

Answer 4

Diastolic murmur

S2S1

Left sternal border

Closing problem in aortic valve at the same time as mitral valve filling

So as the left ventricle fills up the right ventricle also fills up due to the aort valve letting in blood due to build up pressure from the inferior veta cava

Decreshindo after S2

Early systolic murmur

Question 5

Mitral stenosis

Answer 5

Diastolic

Rapid filling-opening snap
Early diastoli
Pre systolic accentuation
Opening snap and mirumble

A U shape

Question 6

Extra hr sounds

Answer 6

Systolic click - aortic stenosis, mitral prolapse

Opening snap - mitral stenosis

S3- volume overload, early dyastoli
Cordi tendineae
Rapid filling phase
Kids normal
Adults congestive hr failure

S4- pressure overload
Left Atrium contracts
End of dyastoli
Pathological
Heard in apex

Left side