Murmurs Flashcards
murmur type - mitral regurgitation + aortic stenosis
systolic
MR. ASS
murmur type - mitral stenosis + aortic regurgitation
diastolic
MS. ARD
heard best at apex
radiates to axilla
loud blowing, high-pitched
mitral regurgitation
heard best at second right ICS
radiates to neck
harsh, noisy murmur
aortic stenosis
murmur - patient should avoid overexertion for increased risk of sudden death; refer to cardiologist
aortic stenosis
heard during S2 heart sound; always indicative of heart disease
diastolic murmurs
MS. ARD
low-pitched diastolic rumbling murmur
heard best at apex
“opening snap”
mitral stenosis
high-pitched, blowing diastolic murmur
heard best at R 2nd ICS
aortic regurgitation
grade:
very soft murmur heard only under optimal conditions
I
grade:
mild to moderately loud murmur
II
grade:
loud mumur that is easily heard once the stethoscope is placed on the chest
III
grade:
louder murmur
thrill present
IV
grade:
very loud murmur heard with edge of stethoscope off chest
thrill more obvious
V
grade:
murmur so loud that it can be heard even with stethoscope off chest
thrill easily palpated
VI
all diastolic murmurs are
abnormal