murmurs Flashcards
Aortic Stenosis has what kind of murmur?
systolic ejection crescendo-decrescendo murmur radiating to neck (carotid)
where is the systolic ejection murmur in aortic stenosis best heard?
right upper sternal border
the systolic ejection crescendo-decrescendo murmur in aortic stenosis _____ intensity with the valsalva maneuver
decreases
murmur decreases with decreased venous return
valsalva
murmur found with aortic regurgitation
diastolic, decrescendo blowing murmur
high pitched
where is the murmur in aortic regurgitation best heard?
left upper sternal border
where is the best place to hear an Austin flint murmur?
apex
mid-to late diastolic rumble at apex
an opening snap is heard with what disease?
mitral stenosis
heart sounds on physical exam for mitral stenosis
loud S1, may have spit S2 before opening snap
opening snap
early mid diastolic rumble at apex
the early mid diastolic rumble at apex in mitral stenosis is best heard in what position?
left lateral decubitus position
what are the systolic murmurs?
AS/PS
MR/TR
MVP
What are the diastolic murmers
AR/PR
MS/TS
aortic stenosis murmur is heard where?
2 RICS/ RUSB
pulmonic stenosis murmur is heard where?
2-3 LICS/LUSB
describe the murmur heard with pulmonic stenosis
crescendo-decrescendo, may hear early pulmonic ejection sound
aortic regurgitation Austin flint/ mid systolic murmur is best heard where?
2-4 LICS
pulmonic regurgitation murmur is best hear where?
2-4 LICS
mitral stenosis murmur is best heard where?
apex of heart (mitral valve)
characteristics of mitral stenosis murmur
Opening snap
S1 sound
mitral regurgitation murmur is best heard where?
apex of heart (mitral valve)
characteristics of mitral regurgitation murmur
decreased S2 sound
tricuspid regurgitation murmur is best heard where?
LLSB
tricuspid regurgitation murmur is often described as a ______ murmur
holosystolic
hypertrophic cardiomyopathy has a murmur best heard where?
LLSB
hypertrophic cardiomyopathy crescendo-decrescendo murmur _____ intensity with the valsalva maneuver
increases
murmur increases with decreased venous return
(valsalva)
murmurs heard at 2 RICS
aortic stenosis
murmurs heard at LUSB/2-3 LICS
pulmonic stenosis
murmurs heard at 2-4 LICS
aortic and pulmonic regurgitation
murmurs heard at the apex
mitral stenosis/regurgitation
murmurs heard at the LLSB
tricuspid regurgitation
hypertrophic cardiomyopathy
dilated/ restrictive cardiomyopathy may have what extra heart sound associated with it?
S3
