Heart sounds Flashcards

1
Q

What must you always do when listening to heart sounds?

A

Palpate the carotid.

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2
Q

Name a common heart murmur that is pan systolic in S1?

A

Mitral regurgitation (can be tricuspid regurgitation)

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3
Q

Name a common ejection systolic murmur (S1)?

A

Aortic stenosis (also pulmonary stenosis)

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4
Q

Name a common early diastolic murmur (S2)?

A

Aortic regurgitation

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5
Q

Name a late S2 sound with a “tap” at the end?

A

Mitral stenosis

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6
Q

Name a pan systolic Heart sound that occurs in S1 and S2? (a continuous machine like murmur)

A

Patent ductus arteriosis.

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7
Q

Name 2 late systolic heart sounds? (S1)

A
  • mitral valve prolapse

* coarctation of aorta

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8
Q

What is one of the major predisposing factors I developing valvular diseas (mitral and aortic predominantly)?

A

Chronic rheumatic heart disease

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9
Q

What are the 4 most common valvular heart diseases?

A
  • Aortic Stenosis
  • Mitral regurgitation
  • Aortic regurgitation
  • Mitral stenosis
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10
Q

Name 3 causes of innocent heart murmurs?

A
  • Pregnancy
  • Anaemia
  • Thyrotoxicosis
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11
Q

Name 4 qualities associated with a benign murmur?

A
  • Short
  • Soft
  • Systolic
  • May vary with posture
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12
Q

What is the major risk associated with prosthetic heart valves?

A

Infection

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13
Q

What is the causes of mitral stenosis?

A
  • Rheumatic heart disease
  • Congenital
  • Muccopolysacharidosis
  • Cardial fibroelastosis
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14
Q

What is the causes of mitral regurgitation?

A
  • Functional
  • Annular calcification
  • Rheumatic fever
  • Infective endocarditis
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15
Q

What is the causes of Aortic stenosis?

A
  • Senile calcification (commonest)
  • congenital
  • Rheumatic fever
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16
Q

What is the causes of Acute aortic regurgitation?

A

Acute:

  • Infective endocarditis
  • Ascending aortic dissection
  • Tauma
17
Q

What is the causes of Chronic aortic regurgitation?

A

Chronic:

  • Congenital
  • Connective tissue disorders → Ehrlers-danloss, Marfans
  • Rheumatic fever