MURMURS Flashcards

1
Q

aortic stenosis
- location
- radiation

A

crescendo decrescendo at 2nd intercostal space

radiates to carotids

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2
Q

aortic regurg
- location
- inc with?
- additional findings

A

diastolic decrescendo
- at LLSB
- inc with gripping, sitting, leaning forward

corrigans pulse (rapid/forceful then collapses)
austin flint murmur (low pitch rumbling in SEVERE AR)

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2
Q

mitral stenosis
- location

A
  • opening snap
  • low pitch diastolic murmur
  • at APEX (L lateral decubitis position)
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3
Q

mitral regurg
- location
- radiation

A

blowing holosystolic murmur
- at apex
- radiate to axilla

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4
Q

mitral valve prolapse
- location

A

mid systolic ejection click
- at apex

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5
Q

tricuspid stenosis
- location
- radiation
- inc with?

A

mid diastolic murmur
- LLSB
- radiate to XIPHOID

INC with INSPIRATION

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6
Q

tricuspid regurg
- location
- radiate
- inc with?

A

holosystolic murmur
- LLSB
- radiate to XIPHOID

INC w/ INspiration

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7
Q

pulmonic stenosis
- location
- radiate
- inc with?

A

mid systolic murmur
- 2nd-3rd Left intercostal space
- radiate to L shoulder
- INC w/ INspiration

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8
Q

pulmonic regurg
- location
- inc with?

A

graham steel murmur
- HIGH pitch, decrescendo early diastolic
- LUSB

INC w/ INspiration

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9
Q

which murmurs INC with INSPIRATION

A

TS, TR, PS, PR

all the tricuspid/pulmonic murmurs

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10
Q

which murmurs present with R sided HF signs and symptoms?

A

TS, TR, PS, PR

fluid does not push out to the lungs, goes back into the body

SIGNS: edema, ascites, JVD, hepatomegaly
SYMP: anorexia, n/v

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11
Q

which murmurs present with L sided HF signs and symptoms?

A

AR, AS, MS, MR, MVP

fluid does not push out to body, goes back into the lungs

SIGNS: rales, dec breath sounds at bases, tachypnea, S3 ventricular gallop
SYMP: dyspnea, orthopnea, PND, cough, confusion, fatigue

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12
Q

which murmur radiates to the carotids?

A

AS

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13
Q

which murmur can be caused by syphillis?

A

aortic regurg

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14
Q

which murmur may present with corrigans pulse and austin flint murmur?

A

aortic regurg (SEVERE)

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15
Q

which murmur may present with AFIB?

A

mitral stenosis

must anticoagulate for tx

16
Q

which murmur radiates to the axilla?

A

mitral regurg

17
Q

which murmur is caused by tetrology of fallot?

18
Q

which murmur may radiate to the xiphoid?

19
Q

which murmur may radiate to the L shoulder?