SYSTOLIC MURMURS

Question 1

what are the pathological mid systolic murmurs?

Answer 1

Aortic stenosis
Hypertrophic cardiomyopathy
Pulmonic stenosis

Question 2

name this pathological mid systolic murmur

• right 2nd intercostal space
• Paradoxical splitting

Answer 2

aortic stenosis

Question 3

name this pathological mid systolic murmur

• 3rd and 4th left intercostal space
• down left sternal border to apex and to base, but not to neck

Answer 3

hypertrophic cardiomyopathy

Question 4

name this pathological mid systolic murmur

• 2nd and 3rd left intercostal space
• to left shoulder and neck

Answer 4

pulmonic stenosis

Question 5

T/F, pan systolic murmurs are always pathological?

Answer 5

T

Question 6

what type of systolic murmur is this?

• Innocent
• -Location: 2nd to 4th left interspaces
• -Radiation: little
• -Intensity: 1-3
• -No associated findings
• Pathological
• Physiological
• -Similar to innocent
• -Associated findings include:
• –Anemia, pregnancy, fever, hyperthyroidism

Answer 6

midsystolic murmur

Question 7

what type of systolic murmur is this?

• Always pathological
• Results from blood moving from chamber of high pressure to low pressure over valve that should be closed
• Sound spans from S1 to S2

Answer 7

Pansystolic (holosystolic) murmurs

Question 8

what are the pathological pan systolic murmurs?

Answer 8

mitral regurgitation
tricuspid regurgitation
ventricular septal defect

Question 9

name this pathological pan systolic murmur?

▪ Location: Apex
▪ Radiation: to left axilla
▪ Intensity: Soft to loud, loud if associated with apical thrill
▪ S1 normal, S3 present

Answer 9

mitral regurgitation

Question 10

name this pathological pan systolic murmur?

▪ Location: lower left sternal border
▪ Radiation: to right of sternum
▪ Intensity: variable, blowing sound that increases slightly with inspiration
▪ S3 present
▪ JVD present

Answer 10

tricuspid regurgitation

Question 11

name this pathological pan systolic murmur?

▪ Location: 3rd 4th and 5th left intercostal spaces
▪ Radiation: wide
▪ Intensity: loud with thrill
▪ S2 may be obscured

Answer 11

ventricular septal defect