MUR MURS Flashcards
Which heart murmur is associated with weak pulses?
Aortic Stenosis
Crescendo-decrescendo systolic murmur best heard in the 2nd-3rd right interspace close to the sternum
Aortic Stenosis
Early diastolic decrescendo murmur heard best along the left sternal border, with BP of 160/55 mmHg
Aortic Regurgitation b/c wide pulse pressure
Late diastolic decrescendo murmur heard best along the lower left sternal border
Tricuspid stenosis
Holosystolic murmur best heard at the apex along the lower left sternal border high-pitched “blowing murmur” enhanced by handgrip
Mitral Regurgitation
Late systolic murmur usually preceded by a mid systolic click
Mitral Valve Prolapse
Crescendo-decrescendo systolic murmur best heard in the 2nd-3rd left interspaces close to the sternum
Pulmonic Stenosis
Holosystolic murmur best heard along the left lower sternal border
Tricuspid regurgitation Ventricular septal defect
Rumbling, late diastolic murmur with an opening snap, loudest in the 5th interspace in the midclavicular line
Mitral Stenosis
Continous, machine-like murmur (in systole and diastole)
Patent Ductus Arteriosus
What are Diastolic murmurs?
Aortic regurgitation Pulmonic regurgitation Mitral stenosis or Tricuspid Stenosis
Continuous machine-like murmur loudest S2
Patent Ductus arteriosis
Bounding pulses, head bobbing, diastolic murmur
Aortic regurgitation
Murmurs best heard in left lateral decubitus positions
Mitral stenosis Mitral regurgitation Left sided S3 Left sided S4
Causes of Aortic Stenosis
Congenital bicuspid aortic valve Senile (degenerative) calcification Chronic Rheumatic valve disease congenital unicuspid aortic valve Tertiary syphilis
