Murmurs Flashcards
Heard at apex and radiates to the left axilla (less often to left sternal border)
Soft to loud (with thrill)
Medium to high pitch
Doesn’t become louder with inspiration
Mitral Regurgitation murmur
Heard at left lower sternal border
Radiates to R of sternum, xiphoid
Medium pitch
Intensity may increase with inspiration
Tricuspid Regurgitation murmur
Heard in 3rd, 4th, 5th interspace
Often loud with a thrill
S2 may be obscured because its so loud
Ventricular Septal Defect (VSD) murmur
What are the three types of pansystolic murmurs?
Mitral regurg murmur
Tricuspid regurg murmur
VSD murmur
What is the most common kind of heart murmur?
Midsystolic murmurs
What are the two type of non-pathological midsystolic murmurs?
Innocent murmur
Physiologic murmur
What are the three types of pathologic midsystolic murmurs?
Aortic Stenosis murmur
Hypertrophic Cardiomyopathy murmur
Pulmonic Stenosis murmur
What grades will a innocent midsystolic murmur have?
1-2 (possibly 3)
Heard at 2nd intercostal space
Radiate to carotids, down left sternal border, even to apex
Crescendo- decrescendo
Soft or loud w/ a thrill
Heard best with patient sitting and leaning forward
Aortic stenosis murmur
heard at 3rd and 4th intercostals
Doesn’t radiate to the neck
High quality
Medium pitch
Hypertrophic cardiomyopathy murmur
Heard in 2nd and 3rd left interspaces Radiates to left shoulder and neck soft or loud with thrill Cescendo-descresendo Often harsh
Pulmonic stenosis murmur
Name the two type of diastolic murmurs
Aortic Regurgitation murmur
Mitral Stenosis murmur
Heard in 2nd to 4th left interspaces
Radiate to apex, perhaps R sternal border
High pitch
Decrescendo
Grade 1-3
Heard best with patient sitting, leaning forward
Aortic Regurgitation murmur
Limited to apex Little radiation Grades 1-4 Low pitch Low-pitched rumble Heard best in left lateral position S1 is accentuated
Mitral Stenosis murmur
What do you use a bell for (low sounds)?
S3
S4
Mitral stenosis murmur
