*Valvular Heart Disease

Question 1

Best positions to hear cardiac valves

Answer 1

Left:
5th ICS - MV, apex of heart (L5)
4th ICS - TV
2nd ICS - PV

Right:
2nd ICS - AV

Question 2

Diastolic murmur

Answer 2

ARMS

MS = MDS - L5 ICS
AR = EDM - L4

(AS at R2)

Question 3

Systolic murmur

Answer 3

MR = PSM - L5, radiates to axilla (pan SM)
AS = ESM - R2, radiates to neck (ejection SM)

MVP (prolapse) = Mid systolic click
TR = PSM (pan SM)

Question 4

Atrial septal defect murmur

Answer 4

Ejection systolic murmur
at L2