Murmurs

Question 1

Still’s murmur

Answer 1

• Early to mid systolic, musical vibratory
• LLSB and apex
• Innocent murmur
• Vibration of valve leaflets

Question 2

Venous - think of venous blood return from the head to the SVC

Venous hum

Answer 2

• Harsh, systolic murmur. May be continuous.
  
  • Decreased on Valsalva, pressure on jugular veins, supine, contralateral head turn
• Innocent murmur
• Sound of blood flowing from head to neck via jugular veins returning to heart

Question 3

Pulmonary ejection murmur

Answer 3

• Mid systolic harsh sound
  
  • 2nd L intercostal space
• Blood flow across the pulmonary valve