Valvular Dz Flashcards
Stenosis
opening snap or rumble
Regurg
blowing
Diastole
mitral + tricupsid OPEN
A + P CLOSE
Systole
Mitral + tricupsid close
A+P open
S1
mitral and tricupsid close
S2
aortic and pulmonic clsoe
Tx for palpitations with MVP
BB
Mitral valve prolapse
mid-systolic click
Palpitations
Ebsteins anom
tricupsid insuff
Mitral stenosis
LLD inc heard best at apex high pitched opening snap, loud S1 low pitched diastolic rumble hx rheum heart dz, strep DOE, RVH
Mitral regurd
systole (flows from LV to LA)
LOUD BLOWING HOLOSYSTOLIC
Radiates to axilla
heard best at apex
Tricupsid stenosis
diastolic rumble
louder with inspuration
bell at LSB 4th ICS
Tricupsid regurg
blowing holosystolic heard best at RSB
MC cause of tricupsid stenosis
rheum heart dz
MC cause of tricupsid regurg
inc R atrial pressure
PPhx for endocardidis
Amoxicillin 2 g po
acute MR
soft low pitched decrescendo
systolic apical murmur
hx infective enocarditis
Aortic stenosis
2 rnd ICS, calcifications
old pt, cphest pain, dyspnea
ej murmur
Sterile veg endocarditis on both sides of valve
SLE
Aortic regurg
diastolic, wide PP
high pitched, blowing
Dressler syndrome
post MI
Benign murmur
systolic, grade 1-2
ej, base of heart
no radiation
