Murmur Associations Flashcards

1
Q

Early diastolic murmur

A

Aortic regurgitation

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2
Q

Collapsing pulse

A

Aortic regurgitation

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3
Q

Wide pulse pressure

A

Aortic regurgitation

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4
Q

Quincke’s sign (nailbed pulsating)

A

Aortic regurgitation

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5
Q

De Musset’s sign (head bobbing)

A

Aortic regurgitation

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6
Q

Ejection systolic

A

Aortic stenosis, HOCM, pulmonary stenosis, ASD, tetralogy of fallot

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7
Q

Late systolic

A

Coarctation, mitral valve prolapse

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8
Q

Pansystolic

A

Mitral regurgitation - blowing (+assoc HOCM), tricuspid regurgitation, VSD

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9
Q

Mid-late diastolic

A

Mitral stenosis

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10
Q

Continuous machine-like murmur

A

PDA

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11
Q

Slow rising pulse

A

Aortic stenosis

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12
Q

Soft S2

A

Aortic stenosis

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13
Q

S4

A

Stiff ventricle - Aortic stenosis, HOCM, HTN. Coincides with p wave.

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14
Q

Opening snap

A

Mitral stenosis

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15
Q

Malar flush

A

Mitral stenosis

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16
Q

Soft S1

A

Mitral regurgitation, long PR

17
Q

Split S2

A

Mitral regurgitation, normal in inspiration, RBBB, pulmonary stenosis, ASD

18
Q

Jerky pulse

A

HOCM

19
Q

‘a’ waves

A

Atrial contraction - HOCM, pulmonary stenosis, pulmonary hypertension, tricuspid stenosis

20
Q

S3

A

Diastolic filling of ventricle (sloshing) - LVH, constrictive pericarditis, mitral regurgitation

21
Q

Loud S2

A

HTN (systemic A2, pulmonary P2), hyperdynamic state, ASD

22
Q

Giant ‘v’ waves

A

Tricuspid regurgitation

23
Q

Cannon ‘a’ wave

A

Atrial contraction against closed tricuspid valve - complete heart block, VT, ectopics, single chamber V pacing

24
Q

Bisferiens pulse

A

Mixed aortic valve disease

25
Q

Pulsus alternans

A

Severe LVF - pulses alternate between weak and strong

26
Q

Pulsus paradoxus

A

Tamponade, constrictive pericarditis

27
Q

Steep X descent

A

Tamponade

28
Q

Steep X and Y descent

A

Constrictive pericarditis