Murmurs Flashcards

1
Q

Stenotic sound?

A

Harsh

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2
Q

Regurg Sound?

A

blowing

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3
Q

Opening snap?

A

Mitral Valve Stenosis

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4
Q

Mitral Stenosis - S or D

A

Dias

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5
Q

Aortic Regurg - S or D

A

Dias

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6
Q

Mitral Regurg - S or D

A

Sys

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7
Q

Aortic stenosis - S or D

A

Sys

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8
Q

Tricuspid Regurg - S or D

A

Sys

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9
Q

Pulmonic Stenosis - S or D

A

Sys

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10
Q

Hear - Pulmonic Stenosis

A

2nd and 3rd interspace

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11
Q

Radiate - Pulmonic Stenosis

A

left shoulder

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12
Q

Hear - Tricuspid Regurg

A

L sternal

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13
Q

Radiate - Tricuspid Regurg

A

R sternal - NOT AXILLA

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14
Q

Help you hear it - Tricuspid Regurg

A

INCREASE with inspiration (triiiing hard to inspire)

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15
Q

Hear - Aortic Stenosis

A

2nd R interspace

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16
Q

Radiate - Aortic Stenosis

A

neck

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17
Q

help you hear it - Aortic Stenosis

A

sitting, leaning forward (ASthma - lean forward)

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18
Q

Shape - pulmonary stenosis

A

DIAMOND cresh - decresh

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19
Q

Shape - tricuspid regurg

A

holosystolic

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20
Q

shape - aortic stenosis

A

DIAMOND cresh- decresh

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21
Q

Hear - mitral regurg

A

apex

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22
Q

radiate - mitral regurg

A

left axilla radiation

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23
Q

shape - mitral regurg

A

holosystolic

24
Q

hear - Mitral stenosis

A

apex

25
Q

shape - mitral stenosis

A

decresh

26
Q

help you hear it - mitral stenosis

A

LLD (you like it when the MS lies down)

27
Q

pitch - mitral stenosis

A

low

28
Q

hear - aortic regurg

A

L sternal border

29
Q

radiate - aortic regurg

A

apex

30
Q

help you hear it - aortic regurg

A

lean forward (lean forward if you’re going to regurg All over the place)

31
Q

shape - aortic regurg

A

decresh

32
Q

Memorize diastolic murmur shape

A

Diastolic = Decresh

33
Q

memorize shape systolic stenosis

A

Systolic stenosis = sideways square

34
Q

memorize shape systolic regurg

A

systolic regurg - really longggggssss (Gs) - holosystolic

35
Q

PAD ulcers

A

ankle –> down

36
Q

PVD ulcers

A

knee to ankle

37
Q

dusky red legs when dangling?

A

PAD

38
Q

redish brown legs?

A

PVD

39
Q

elevation relieves

A

PVD

40
Q

standing relives

A

PAD

41
Q

wide pulse pressure

A

> 40

42
Q

narrow pulse pressure

A
43
Q

remittent fever

A

fever with diurnal variation GREATER than 2 degree but NO normal readings

44
Q

F to C

A

F - 32 x 5/9

45
Q

C to F

A

C x 9/5 + 32

46
Q

Kussmauls resp

A

deep and fast - DKA

47
Q

underweight BMI

A
48
Q

norm BMI

A

18.5-24.9

49
Q

overweight

A

25-29.9

50
Q

obese 1

A

30-34.9

51
Q

obese 2

A

35.39.9

52
Q

EXTREME OBESE

A
53
Q

Mid systolic click

A

MVP

54
Q

JVP

A

right atrium pressure

55
Q

distended IJV

A

= volume overload

56
Q

hear best with bell?

A

low pitch ( S3,S4, MS) - MSSS

57
Q

hear best with diaphragm?

A

high pitch (S1,S2, regurg, friction) FRNS (NS - normal sounds)