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
