Heart Murmurs Flashcards
Pulmonic Stenosis Associated
Early ejection sound
Aortic Regurgitation Associated
Best heard when breath is held, sitting, leaning foward. Diaphragm: high sound.
Pulmonic Stenosis Duration
Midsystolic
Mitral Regurgitation Duration
Pansystolic
Pleural Effusion Tactile Fremitus
Decreased
Mitral Stenosis Radiation
None
Chronic Bronchitis Tactile Fremitus
Normal
Left Ventricular Failure Breaths
Vesciular
Asthma Breaths
Wheezes
Tricuspid Regurgitation Radiation
RSB, Xiphoid, MCL
Mitral Stenosis Duration
Diastolic
Normal Tactile Fremitus
Normal
Pleural Effusion Percussion
Dull
Asthma Trachea
ML
Atelectasis Tactile Fremitus
Decreased
Aortic Regurgitation Location
LSB
Pulmonic Stenosis Radiation
L Shoulder, Neck
Pneumothorax Trachea
Shifted to opposite side
Pneumothorax Breaths
Decreased
Normal Trachea
ML
Normal Breaths
Vesicular
Mitral Regurgitation Location
Apex
Atelectasis Trachea
Shifted to the same side
Aortic Regurgitation Radiation
Apex
Left Ventricular Failure Percussion
Resonant
Consolidation Adventitious Sounds
Late Inspiratory Crackles
Left Ventricular Failure Adventitious Sounds
Late inspiratory crackles
Aortic Stenosis Location
Right 2nd ICS
Consolidation Breaths
Bronchial
Consolidation Percussion
Dull
Consolidation Tactile Fremitus
Increased
COPD Adventitious Sounds
Equivocal
Mitral Regurgitation Radiation
L axilla
COPD Breaths
Decreased
Normal Percussion
Resonant
COPD Tactile Fremitus
Decreased
Tricuspid Regurgitation Location
LSB
Aortic Stenosis Duration
Midsystolic
Asthma Adventitious Sounds
Wheezes
Chronic Bronchitis Trachea
ML
Chronic Bronchitis Adventitious Sounds
Early inspiratory crackle
Asthma Percussion
Hyperresonant
Left Ventricular Failure Trachea
ML
Pleural Effusion Adventitious Sounds
Pleural Rub
Atelectasis Percussion
Dull
Aortic Stenosis Associated
Best heard when sitting and leaning forward
Aortic Regurgitation Duration
Diastolic
Aortic Stenosis Radiation
Carotids
Chronic Bronchitis Percussion
Resonant
Asthma Tactile Fremitus
Decreased
Mitral Stenosis Associated
Best heard when LLD at apical impuse.
OS.
Bell: Low
Mitral Stenosis Location
Apex
Left Ventricular Failure Tactile Fremitus
Normal
Mitral Regurgitation Associated
Decreased S1, doesn’t increase on inspiration, S3
COPD Percussion
Hyperresonant
Pleural Effusion Trachea
Shifted to opposite side
Pleural Effusion Breaths
Decreased
COPD Trachea
ML
Pneumothorax Adventitious Sounds
Pleural Rub
Pneumothorax Tactile Fremitus
Decreased
Tricuspid Regurgitation Associated
S3, increases with inspiration
Pulmonic Stenosis Location
L 2nd, 3rd ICS
Tricuspid Regurgitation Duration
Pansystolic
Atelectasis Adventitious Sounds
None
Chronic Bronchitis Breaths
Vesicular
Pneumothorax Percussion
Hyperresonant