Shared Flashcard Set

Details

Murmurs
The Nasty Details
8
Medical
Graduate
12/04/2012

Additional Medical Flashcards

 


 

Cards

Term
Aortic Stenosis
Definition
1) Harsh late-peaking cresendo-decrescendo systolic murmur
2) Left 2nd ICS (heard best)
3) Radiation to the carotids

Other
4) Abnormal carotid pulse
5) Diminished and delayed ("pulsus parvus and tardus")
6) Sustained apical impulse
Term
Mitral Regurgitation
Definition
1) Blowing holosystolic murmur
2) Apex (heard best)
3) Radiation to the axilla and inferior edge of left scapula

Other
4) S2: Wide physiologic splitting
5) S3
Term
Aortic Insufficiency
Definition
1) Soft blowing early diastolic decrescendo murmur
2) Left 2nd ICS (heard best)
3) Austin Flint Murmur (systolic flow murmur and diastolic rumble)

Other
4) Dilated apical impulse
5) Abnormal and collapsing arterial pulses
Term
Tricuspid Regurgitation
Definition
1) Soft holosystolic murmur
2) LLSB w/o radiation (heard best)
3) Intensity increases with inspiration or pressure over liver

Other
4) JVD
5) Edema, ascites
Term
Pulmonic Insufficiency
Definition
1) High frequency early diastolic descrescendo murmur
2) 2n3 or 3rd ICS (heard best)
3) Increases with inspiration

Other
4) Abnormal S2 splitting
5) Sustained Pulmonary HTN
Term
Pulmonary Stenosis
Definition
1) Harsh crescendo-decrescendo systolic murmur
2) Sternal border 2nd or 3rd UCS (heard best)
3) INcreases with inspiration

Other
4) Ejection sounds heard at strenal edge (2nd or 3rd ICS)
5) Wide physiological splitting of S2
6) Prominent A wave on jugular venous pulse
Term
Mitral Stenosis
Definition
1) Low frequency rumbling mid-diastolic murmur, with presystolic component possible
2) Apex (heard best)
3) Accentuated in left lateral decubitus position

Other
4) Apical impulse absent or small
5) Irregular pulse (atrial fibrillation)
6) Loud S1
7) Elevated neck veins with exaggerated A wave
Term
Hypertrophic Cardiomyopathy
Definition
1) Harsh quality midsystolic murmur
2) LSB (heard best)
3) Increased with decreased venous return

Other
4) Sustained apical beat to palpation
5) S4 (50% of time)
Supporting users have an ad free experience!