Murmurs and heart stuff Flashcards
What sided murmurs increase on inspiration?
right
What sided murmurs increase on expiration?
left
4 Diastolic murmurs
MS, TS, AR, PR
4 systolic murmurs
AS, PS, MR, TR
two murmurs heard at L lower sternal border?
TR, VSD
murmur heard at L mid clavicular line in 4th, 5th intercostal space
MS
loud murmur, stenosis or regurg?
stenosis
soft, blowing murmur, stenosis or regurg
regurg
3 ddx for holosystolic/pansystolic murmurs?
MR, TR, VSD
murmur that is crescendo decrescendo
AS
decrescendo murmur
AR
murmur radiates to carotids
AS
murmur radiates to axilla
MR
reproductive age girl with murmur, dx?
MVP
MCC of AS in younger pt
bicuspid aortic valve
valves associated with rheumatic fever and endocarditis
MV and TV
mid systolic click
MVP
myxomatous degeneration
MVP
2 murmurs get softer with increased preload
HOCM and MVP
what does squatting do to preload?
increase
what does handgrip do to afterload?
increase
what does valsalva do to preload?
decrease
what does standing up to do preload?
decrease
continuous machine like murmur
PDA
congenital defect increases oxygenation in RV
VSD
congenital defect increases oxygenation in RA and RV
ASD
what causes fixed split?
ASD
2 things cause a wide split?
PS, RBBB
2 things cause a paradoxical split?
AS, LBBB
holosystolic murmur louder with inspiration at the L lower sternal border
TR
diastolic murmur with widened pulse pressure
AR
systolic ejection murmur heard best at second left intercostal space
PS
systolic murmur heard best in L lower sternal border that increases with inspiration
TR
pulsus parvus et tardus (pulse is weak and late) is associated with what murmur
AS
Loud S1, opening snap, louder on expiration
MS
S3 heart sound suggest volume or pressure?
volume
water hammer pulse, bounding and forceful, rapidly increasing and subsequently collapsing
AR
capillary pulse in finger and toe nails, Quinke sign, what murmur?
AR
PDA is associated with which congenital infection?
Rubella
S4 heart sound suggest volume or pressure?
pressure
murmur heard best in the L lateral decubitus position
MS