Valvular Disorders Flashcards
SYSTOLIC HARSH EJECTION CRESCENDO-DECRESCENDO murmur at RUSB with RADIATION to the NECK and APEX
Aortic stenosis
Soft HIGH PITCHED, BLOWING DIASTOLIC murmur along LSB with patient sitting, leaning forward after exhaling
Aortic regurgitation
DIASTOLIC low-pitched DECRESCENDO and rumbling with OPENING SNAP
Mitral stenosis
BLOWING HOLOSYSTOLIC murmur at APEX with a SPLIT S2
Mitral regurgitation
MIDSYSTOLIC EJECTION CLICK heard best at APEX
Mitral valve prolapse (MVP)
MID DIASTOLIC RUMBLING at LLSB with OPENING SNAP
Tricuspid stenosis
HIGH PITCHED HOLOSYSTOLIC murmur at Lower LSB
Tricuspid regurgitation
HARSH, LOUD, MEDIUM -PITCHED SYSTOLIC MURMUR HEARD BEST AT THE 2nd /3rd LEFT INTERCOSTAL SPACE that MAY DECREASE WITH INSPIRATION
Pulmonary stenosis
High pitched decrescendo murmur at the LUSB that increases with inspiration
Pulmonary regurgitation
HARSH HOLOSYSTOLIC murmur heard best at the LSB with WIDE RADIATION and a fixed, split S2
Ventral septal defect (VSD)
Systolic ejection murmur at 2nd left intercostal space with an early to mid-systolic rumble and fixed splitting of the 2nd heart sound (s2)
Atrial septal defect (ASD)
Late systolic ejection murmur-posterior or continuous murmur if collateral flow. Will have absent or weak femoral pulses with a delay of palpable femoral pulse and HTN in arms but low or normal blood pressure in the legs
Coarctation of the aorta
Continuous, rough, machinery-like murmur, heard best in the first interspaces of the LSB
Patent ductus arteriosis (PDA)
Harsh systolic ejection murmur heard best at the left sternal border. Associated with bluish skin, trouble gaining weight, and sudden loss of consciousness during crying or feeding
Tetralogy of fallot (ToF)
Medium-pitched, mid-systolic murmur that decreases with squatting and increases with straining. S4 gallop and apical lift with thick, stiff left ventricle Leading cause of sudden death in athlete
Hypertrophic Cardiomyopathy
