Heart OSCE Flashcards
MR how does it sound?
Blowing/holosystolic radiating to left axilla
TR how does it sound?
blowing quality/holosystolic
MS how does it sound?
rumbling, low pitched
What is associated w/ PS?
Increases w/ inspiration
What does expiration do to heart sounds?
Left side gets louder, right side gets quieter
Explain how squatting causes MVP and HCM to DECREASE in intensity?
Squatting increases venous return, PVR, SV and BP while standing has the opposite effect
When does TS increase in intensity?
Inspiration
PS how does it sound?
harsh, loud, ejection click radiating into left shoulder
AR what does it sound like?
blowing, decrescendo murmur
Aortic Stenosis where?
2nd/3rd R ICS
Where is PS?
2nd/3rd L ICS
How do you position volume overloaded patients to test for JVP?
Elevate head to 60-90*
What does inspiration do to heart sounds?
Right side gets louder, left side gets quieter
Where is AR?
2nd-4th ICS on LEFT
What is associated w/ TR?
Increases w/ inspiration
What conditions, other than HF, is JVP increased in?
- TS
- Chronic PAH
- SVC obstruction
- Tamponade
- Constrictive pericarditis
What murmur is better heard by leaning forward?
AR
When does TS decrease in intensity?
Expiration & valsalva