Lesson 14 (HA Lab) Flashcards
How to grade intensity of murmur
1-6
The extra sounds
S3, S4
An opening snap
S3 S4
It begins after S1 and stop before S2; brief gaps audible
Midsystolic murmur
Begins at S1 and stops at S2
Pansystolic (holosystolic) Murmur
Starts in mid or last systole and persists up to S2
Late Systolic Murmur
Starts immediately after S2, without a discernible gap, and then usually fades into silence before the the next S1
Early Diastolic Murmur
Starts at a short time after s2; it may fade away, or merge into a late diastolic murmur
Meddiastolic Murmur
Starts late in diastole and typically continues up to S1
Late Diastolic (presystolic) Murmur
Another term for late diastolic murmur
Presystolic
Another term for Pansystolic Murmur
Holosystolic Murmur
The most difficult for a novice to determine
Shape of the murmur
What are the four valves
Aortic
Pulmonic
Tricuspid
Mitral
You will detect this frequently in children and in young adults to the age 35 or 40
S3
The atrial sound or atrial gallop
S4