Murmurs Flashcards
What would a mid- ejection systolic murmur suggest?
Pulmonary stenosis
What murmur would suggest pulmonary stenosis?
Mid- ejection systolic murmur
Where could pulmonary stenosis be heard loudest?
Second intercostal space on the left sternal edge
Is pulmonary stenosis heard louder on inspiration or expiration?
Inspiration
What condition is pulmonary stenosis associated with?
Carcinoid heart disease (Hedinger syndrome).
What would a decrescendo early-diastolic blowing murmur indicate?
Aortic regurgitation
What type of murmur might indicate aortic regurgitation?
Decrescendo early-diastolic blowing murmur
Where can aortic regurgitation be heard best?
Third and fourth intercostal space on the left lower sternal border
When can aortic regurgitation be heard loudest?
End-expiration with the patient sitting up and leaning forward.
In what position should the patient be in for aortic regurgitation to sound loudest?
Patient sitting up and leaning forward.
What would a high pitched ejection systolic murmur suggest?
Aortic stenosis
Where can an aortic stenosis murmur radiate to?
The carotids
Where can an aortic stenosis murmur be heard loudest?
Second intercostal space on the right sternal edge
Can aortic stenosis be heard loudest on inspiration or expiration?
Expiration
What would a high pitched, pansystolic murmur suggest?
Tricuspid regurgitation
Where can a tricuspid murmur be heard loudest?
Left lower sternal border.
What would a low pitched rumbling diastolic murmur suggest?
Mitral stenosis
Where can mitral stenosis be heard best?
At the apex
What condition is mitral stenosis associated with?
Rheumatic fever
What can differentiate mitral regurgitation and tricuspid regurgitation?
Mitral regurgitation is louder on expiration whereas tricuspid regurgitation is louder on inspiration
Who does tricuspid stenosis usually affect?
Neonates
What might an end-diastolic murmur suggest?
Tricuspid stenosis
Where can a tricuspid stenosis murmur be heard loudest?
Left parasternal 4th intercostal space
Is a tricuspid stenosis murmur louder on inspiration or expiration?
Inspiration
What is the difference between tricuspid stenosis and tricuspid regurgitation?
Tricuspid stenosis is a diastolic murmur
Tricuspid regurgitation is a systolic murmur
