unit 1 murmurs Flashcards
what 4 murmurs are systolic?
*TR
*PS
*MR
*AS
Terry Reads Poetry Sonnets, Many Rhymes About Sadness
what 4 murmurs are diastolic?
*TS (mid-diastolic)
*PR
*MS
*AR
Trisha Mae Sings Poorly, Really Miserably (but) Sally’s All Right.
tricuspid stenosis sound- 3 qualities
- low-pitched rumbling
- opening-snap
- increases with inspiration
EKG change AW Tricupsid stenosis
*giant A wave
physical s/s AW tricuspid stenosis
- peripheral edema
- ascites
- pulsating enlarged liver
treatment for tricuspid stenosis?
- diuretics
* valve replacement
s/s of tricusipid stenosis are secondary to what type of HF?
right
s/s of tricuspid regurg are secondary to what type of HF?
right
timing of tricuspid regurg murmur
*holosystolic
sound of tricuspid regurg murmur
- blowing
- coarse
- musical
risk factors for tricuspid stenosis?
- female
* rheumatic HD
risk fx for tricuspid regurg
*IVDU
physical s/s of tricuspid regurg
- peripheral edema
* ascites
what arrythmia is common with tricuspid regurg?
afib/flutter
tx for tricuspid regurg?
diuretics
sounds of pulmonic stenosis
- PULM EJECTION CLICK
- crescendo-decrescendo
- low-harsh pitched rumbling
- INCREASES W INSPIRATION
etiology of pulmonic stenosis?
- congenital
* asymp til adulthood
tx of pulmonic stenosis?
- serial f/u
* ballon valvuloplasty
what type of HF symptoms are present with pulm regurg?
right
risk for pulm regurg?
female
sounds of pulmonic regurg
- hight pitched
- decrescendo
- immediately after S2
- INCREASES W INSPRATION
- SILENT DURING SYSTOLE
- heard best leaning forward
treatment for pulmonic regurg?
treat the pulm HTN’s primary cause
mitral stenosis sounds
- low pitched
- rumbling
- use bell of steth to hear
- best heard left lateral position
timing of mitral stenosis sounds?
opening snap to S2
which murmur is best heard leaning forward?
pulmonic regurg
which murmur is best heard in the left lateral position?
mitral stenosis
rheumatic fever increases risk of what two valvular disorders?
- mitral stenosis
* mitral regurg
rhuematic HEART disease is a rf for what valvular disorder?
*tricuspid stenosis
pregnancy and A-fib can lead to symptoms of which valvular disorder?
mitral stenosis
tx mitral stenosis
- mech valve when symp
* coumadin
timing of mitral regurg murmur
*pansystolic
sounds of mitral regurg murmur
- MID SYS CLICKS
- blowing
- high pitched
- musical
a-fib is common in which valve disorder?
Mitral regurg
mitral regurg murmur radiates to?
axilla
tx mitral regurg?
surgery when symp
sound of aortic stenosis murmur
crescendo-decrescendo
timing of aortic stenosis
btwn S1 and S2
sounds of aortic stenosis murmur
harse
rough
prominent S4
aortic stenosis is best heard in what position with what side of steth?
*lean forward,
HOLD BREATH
*diaphragm
aortic stenosis murmur radiates to
carotids
aortic stenosis tx
- TAVR
- plavix & ASA lifelong
- no DOACs
if you hear calcified valve what disorder should you think of
aortic stenosis
sound of aortic regurg murmur
blowing
often it is faint
aortic regurg tx
- treat s/s of LV
* surgery
