Murmurs- Johns Flashcards

1
Q

Systolic Murmur
Cresendo-Decresendo
Loudest at base
Radiates to carotids

A

Aortic Stenosis

Can lead to SAD
Syncope
Angina
Dyspnea

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2
Q

Holosytolic
Blowing murmur
Loudest at apex
Radiates towards axilla

A

Mitral Regurgitation

Associated symptoms:
Pulmonary edema

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3
Q

Which murmur do you get a water hammer pulse?

A

Aortic regurgitation

Super strong pulse, because they have high systolic pressure

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4
Q

What grade do you start feeling a thrill?

A

Grade 4

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5
Q

Diastolic murmur
best heard at the apex w/ patient in left lateral recumbent position
Low pitched (rumble)
Opening Snap is heard

A

Mitral stenosis

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6
Q

Which murmur has mid systolic click?

A

Mitral valve prolapse

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7
Q

What drugs are contraindicated in diastolic dysfunction?

A

ACE inhibitors!
Dilate arteries and veins
Decrease preload, and don’t want don’t do that for diastolic dysfunction!

Use Beta-blocker instead! To allow more time for ventricular filling

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