heart sounds

Question 1

are diastolic murmurs ok? continuous murmurs? mid systolic murmurs?

Answer 1

Diastolic and continuous– No, usually pathologic. should eval further with echo.
Mid-systolic can be ok if in otherwise asymptomatic young adult

Question 2

AR murmur

Answer 2

early, gradually decreasing (decrescendo) diastolic murmur, begins immediately after A2 (aortic component of S2).
- high pitched
blowing
best heard at LSB 3-4th intercostal space with pt sitting up and leaning fwd while holding breath in full expiration!

Question 3

NAME THIS MURMUR:

• early, gradually decreasing (decrescendo) diastolic murmur, begins immediately after A2 (aortic component of S2).
• high pitched
• blowing
• best heard at LSB 3-4th intercostal space with pt sitting up and leaning fwd while holding breath in full expiration!

Answer 3

AR

Question 4

Where/how is AR best heard?

Answer 4

LSB 3-4th intercostal space with pt sitting up and leaning fwd while holding breath in full expiration!

Question 5

midsystolic murmur in young. asymptomatic adults?

Answer 5

usually benign, and in the absence of other findings does not require further eval.

Question 6

Beck’s triad = assoc with what and what is the triad?

Answer 6

cardiac tamponade

- hypotension, distant heart sounds and Jugulovenous distension