Shared Flashcard Set

Details

Heart Sounds
PDX - Auscultation Exam
26
Medical
Professional
03/10/2011

Additional Medical Flashcards

 


 

Cards

Term

You're listening at the 2nd LICS with the diaphragm.

 

Patient presents with cyanosis of nail beds.

Definition

Split S2

 

ASD

Term

You're listening at the LLSB with the diaphragm.

 

Patient appears asymptomatic.

Definition

Split S1

 

RBBB

Term

You're listening to the apex with the bell.

 

50 y/o patient presents with edema, ascities, and elevated JVP.

Definition

S3

 

CHF

Term

You're listening at the 2nd RICS with the diaphragm.

 

Definition

Ejection Sound

 

Aortic Stenosis

 

(without the murmur)

Term

You're listening to the apex with the bell.

 

21 y/o athlete is asymptomatic.

Definition

S3

 

Normal

Term

You're listening at the 2nd LICS with the diaphragm.

 

Definition

Ejection Sound

 

Pulmonic Stenosis

Term

You're listening at the apex with the bell.

 

Patient is asymptomatic.

Definition

S4

 

Normal or Systemic HTN

 

Term

You're listening at the apex with the bell.

 

Patient has dyspnea on exertion.

Definition

S4

 

Aortic stenosis

Term

You're listening at the LLSB with the bell.

 

Patient has dyspnea on exertion.

Definition

S4

 

Pulmonary HTN or

Pulmonary Stenosis

Term

You're listening at the apex with the diaphragm.

 

Patient presents with dyspnea on exertion.

 

Definition

Ejection Sound

 

Aortic Stenosis

 

(heard better at the 2nd RICS)

Term

You're listening at the apex with the diaphragm.

 

Patient presents with chest pain and dyspnea.

 

Definition

Mid-systolic Click

 

Mitral Valve Prolapse

 

(without the murmur)

Term

You're listening at the 4th LICS with the diaphragm.

 

Patient presents with chest pain and dyspnea on exertion.

 

Definition

Mid-systolic click

 

Tricuspid Valve Prolapse

 

(without the murmur)

Term

You're listening at the apex with the diaphragm.

 

Patient present with a brisk (small water hammer) pulse, hyper dynamic apical impulse displaced down and to the left. Heart sound is heard in the axilla.

 

Definition

Holosystolic murmur

 

Mitral Regurgitation

Term

You're listening at the LLSB with the diaphragm.

 

Patient presents with prominent cv waves in JVP. The ear lobes pulsate with each heartbeat. Heart sound changes with inspiration.

 

Definition

Holosystolic Murmur

 

Tricuspid Regurgitation

Term

You're listening at the LLSB with the diaphragm.

 

Patient presents with a hyperdynamic apical impulse displaced down and to the left.

 

Definition

Holosystolic murmur

 

Ventricular septal defect

 

(The reason why it's not Tricuspid regurgitation is due to the apical finding)

Term

You're listening to the apex with the diaphragm.

 

Patient presents with a narrow pulse pressure and a slow, delayed carotid upstroke, sustained apical impulse.

 

Definition

Mid-systolic murmur

 

Aortic Stenosis

 

(Can be located anywhere else along the aortic band - 2nd RICS, 3rd LICS, apex)

 

(remember to watch for the ES)

Term

You're listening to the LLSB with the diaphragm.

 

Patient's murmur increases in intensity with Valsalva and standing and pulsus bisferiens.

 

Definition

Mid-systolic murmur

 

IHSS

 

 

Term

You're listening to the 2nd LICS with the diaphragm.

 

Patient has prominent "a" waves, and a left parasternal sustained impulse. 

 

Definition

Mid-systolic murmur

 

pulmonic stenosis

Term

You're listening at the apex with the diaphragm.

 

Patient presents with chest pain and dyspnea on exertion.

 

Definition

Late systolic murmur

 

Mitral Valve Prolapse

Term

You're listening at the LLSB with the diaphragm.

 

Patient presents with chest pain and dyspnea on exertion.

 

Definition

Late-systolic murmur

 

Tricuspid valve prolapse

Term

You're listening at the apex with the diaphragm.

 

Patient presents with left parasternal impulse.

 

Definition

Opening Snap

 

Mitral Stenosis

 

(You can only hear the snap, since to hear the murmur,  you need to listen with the bell).

Term

You're listening at the LLSB with the diaphragm.

 

Patient presents with giant "a" waves, elevated JVP, slow "y" descent.

 

Definition

Opening Snap

 

Triscuspid Stenosis

Term

You're listening at the apex with the bell.

 

Patient presents with a left parasternal impulse.

 

Definition

Mid-diastlic murmur

 

Mitral Stenosis

Term

You're listening at the LLSB with the diaphragm.

 

Patient presents with giant "a" waves, elevated JVP, slow "y" descent.

 

Definition

Mid-diastolic murmur

 

Tricuspid stenosis

Term

You're listening at the apex with the diaphragm.

 

Patient presents with wide pulse pressure, water-hammer pulse, Quincke's pulse, head bobbing, apical impulse is displaced downwards, to the left.

 

Definition

Early diastolic murmur

 

Aortic Regurgitation

 

(Can listen to it anywhere along the aortic band: 2nd RICS, 3rd LICS, apex)

Term

You're listening at the 2nd LICS with the diaphragm.

 

Patient is asymtomatic.

 

Definition

Early diastolic murmur

 

Pulmonary regurgitation

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