murmurs only Flashcards
which murmur has these features?
- diamond
- heard in RUSR, radiate to carotids
- very common
- LVH, dyspnea or syncope on exertion
AS
which murmur has these features?
- pan/holosystolic
- blowing sound
- heard at apex and radiates to the L axilla region
MR
which murmur has these features?
- decrescendo
- high pitch
- lean forward to hear better
- water hammer pulse
AR
which murmur has these features?
- opening snap
- low pitch
- heard better in LLD position
MS
only condition that has mid-systolic click as a descriptor?
MVP
common in young, healthy people
congenital defect where you see wide fixed S2 split in pulmonic region during systole
ASD
congenital defect where you here pansystolic murmur, S3, thrill and harsh/blowing?
VSD
____ decreases most murmurs except MVP and HCP; also ____ venous return
valsalva; decreases venous return
____ INcreases most murmurs except MVP and HCP; also ____ venous return
squatting; increases venous return
3s’s of innocent murmurs
- systolic
- soft
- short
diagnostic test for new murmurs
echocardiogram
pansystolic murmurs are found with which two conditions
MR
VSD
begins right after SI and lasts to or through S2; of blowing quality with even intensity
pansystolic
begins shortly after S1, increase to peak and rapidly decrease to finish shortly before S2; dilated aortic or pulmonary artery
AS
& PS
thrill palpable at carotids
AS
patient presents with dyspnea or syncope with exertion
AS
maneuver to diff. between AS & MR
hand grip– AS wil decrease
what is the defect
soft murmur from increased bloodflow across Pulmonic valve, systolic ejection murmur at 2nd-4th L-ICS
ASD
pansystolic, high frequency murmur with even intensity; if loud there is a small defect; best heard between apex and LLSB
VSD
causes of MR
- rheumatic heart dz
- post MI
- annulus calcification
- MVP
- LV dilation w/ LHF
- CHF
pt often present with worsening fatigue, DOE, and other CHF signs; often well tolerated for many years
MR
a systolic murmur that has S3 and systolic thrill
MR
value for wide vs narrow pulse pressure
wide >60
narrow < 25