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Year 3 > heart murmurs > Flashcards

heart murmurs Flashcards

1
Q

describe aortic stenosis

A

obstruction of LV outflow of blood due to narrowing of aortic orifice

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2
Q

aortic stenosis murmur

A

mid-systolic
ejection systolic
crescendo-decrecsendo
loudest over RUSB

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3
Q

aortic stenosis manœuvres

A 
increase = squatting
decrease = standing/sitting up and leaning forward
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4
Q

aortic stenosis murmur radiates to

A

carotid

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5
Q

describe mitral regurgitation

A

volume overload due to partial closure of mitral valve

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6
Q

mitral regurgitation murmur

A

pan-systolic
blowing holosystolic
loudest over apex

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7
Q

mitral regurgitation manoevres

A 
increase = handgrip/squatting
decrease = standing
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8
Q

mitral regurgitation murmur radiates to

A

left axilla

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9
Q

describe HOCM

A

hypertrophied inter ventricular septum

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10
Q

HOCM murmur

A

mid-systolic
harsh
crescendo-decrescendo
loudest over LLSB

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11
Q

HOCM manoevres

A 
increase = standing
decrease = handgrip/squatting
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12
Q

HOCM murmur radiates to

A

no carotid radiation

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13
Q

describe VSD

A

hole in ventricular septum

smaller defect = louder murmur

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14
Q

VSD murmur

A

holo-systolic
loud, high pitched, harsh
loudest over LLSB

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15
Q

VSD murmur manoevres

A 
increase = squatting
decrease = standing
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16
Q

VSD murmur radiates to

A

associated with palpable thrill

17
Q

describe mitral valve prolapse

A

ballooning of part of mitral valve into LA

18
Q

MVP murmur

A

mid-late systolic ejection click

loudest over apex

19
Q

MVP manoevres

A 
increase = standing
decrease = handgrip/squatting
20
Q

MVP murmur radiates to

A

N/A

21
Q

describe S3

A

ventricular gallop

22
Q

S3 sound

A

diastolic
‘kentucky’
loudest at apex

23
Q

describe S4

A

atrial gallop

24
Q

S4 sound

A

diastolic
‘tennessee’
loudest at apex

25
Q

describe mitral stenosis

A

obstructed flow from LA to LV due to narrowed mitral orifice

26
Q

mitral stenosis murmur

A 
mid-diastolic
opening snap
rumbling decrescendo
loud S1
loudest at apex

Year 3 (27 decks)

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