Mumurs

Question 1

Mitral/Tricuspid Regurg

Answer 1

Mitral: Heard at the apex and radiates toward axilla
- MR: due to ischemia heart disease, dilation of the ventricle, and MVP
Tricuspid: Heard at the left sternal border at the tricuspid and radiates to right sternal border
- TR: due to dilation (IV drug user)
MR and TR most often caused by Rheumatic fever and infective endocarditis

Question 2

Mitral Valve prolapse

Answer 2

systolic cresendo mumur with midsystolic click
click: sudden tensing of the chordae tympani
Heard over the apex
Caused by tissue degeneration (ehlers danlos, marfan), RF, chordae rupture

Question 3

VSD

Answer 3

Systolic

Holosystolic blowing murmur heard at the tricuspid area

Question 4

Aortic regurgitation

Answer 4

Diastolic Murmur
High pitched blowing murmur.
- Wide pulse pressure, head bobbing, bounding pulse
- caused by: dilation, bicuspid aortic valve, endocarditis, RF,–> progresses to heart failure

Question 5

Mitral Stenosis

Answer 5

Diastolic murmur-follows an opening snap (due to abrupt stop in the opening of the leaflets) - rumbling murmur
LA»»LV during diastole
2ndary to RF, MS can result in LA dilation

Question 6

PDA

Answer 6

systolic and diastolic

Machine like murmur in the infraclavicular area

Question 7

Aortic Stenosis

Answer 7

Systolic Murmur
Cresendo-decresendo
Loudest at the base of the heart (Right sternal border) and radiates to the carotids
SYNCOPE, ANGINA, DYSPNEA ON EXERTION
* age related calcification or unicuspid valve or syphilliss