Murmurs Flashcards
Stenotic sound?
Harsh
Regurg Sound?
blowing
Opening snap?
Mitral Valve Stenosis
Mitral Stenosis - S or D
Dias
Aortic Regurg - S or D
Dias
Mitral Regurg - S or D
Sys
Aortic stenosis - S or D
Sys
Tricuspid Regurg - S or D
Sys
Pulmonic Stenosis - S or D
Sys
Hear - Pulmonic Stenosis
2nd and 3rd interspace
Radiate - Pulmonic Stenosis
left shoulder
Hear - Tricuspid Regurg
L sternal
Radiate - Tricuspid Regurg
R sternal - NOT AXILLA
Help you hear it - Tricuspid Regurg
INCREASE with inspiration (triiiing hard to inspire)
Hear - Aortic Stenosis
2nd R interspace
Radiate - Aortic Stenosis
neck
help you hear it - Aortic Stenosis
sitting, leaning forward (ASthma - lean forward)
Shape - pulmonary stenosis
DIAMOND cresh - decresh
Shape - tricuspid regurg
holosystolic
shape - aortic stenosis
DIAMOND cresh- decresh
Hear - mitral regurg
apex
radiate - mitral regurg
left axilla radiation
shape - mitral regurg
holosystolic
hear - Mitral stenosis
apex
shape - mitral stenosis
decresh
help you hear it - mitral stenosis
LLD (you like it when the MS lies down)
pitch - mitral stenosis
low
hear - aortic regurg
L sternal border
radiate - aortic regurg
apex
help you hear it - aortic regurg
lean forward (lean forward if you’re going to regurg All over the place)
shape - aortic regurg
decresh
Memorize diastolic murmur shape
Diastolic = Decresh
memorize shape systolic stenosis
Systolic stenosis = sideways square
memorize shape systolic regurg
systolic regurg - really longggggssss (Gs) - holosystolic
PAD ulcers
ankle –> down
PVD ulcers
knee to ankle
dusky red legs when dangling?
PAD
redish brown legs?
PVD
elevation relieves
PVD
standing relives
PAD
wide pulse pressure
> 40
narrow pulse pressure
remittent fever
fever with diurnal variation GREATER than 2 degree but NO normal readings
F to C
F - 32 x 5/9
C to F
C x 9/5 + 32
Kussmauls resp
deep and fast - DKA
underweight BMI
norm BMI
18.5-24.9
overweight
25-29.9
obese 1
30-34.9
obese 2
35.39.9
EXTREME OBESE
Mid systolic click
MVP
JVP
right atrium pressure
distended IJV
= volume overload
hear best with bell?
low pitch ( S3,S4, MS) - MSSS
hear best with diaphragm?
high pitch (S1,S2, regurg, friction) FRNS (NS - normal sounds)