1. Chest pain- Heart sounds and murmurs Flashcards Preview

Medicine Y3 TCD 1-12 > 1. Chest pain- Heart sounds and murmurs > Flashcards

Flashcards in 1. Chest pain- Heart sounds and murmurs Deck (12)
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1
Q

Ejection systolic murmur heard loudest in the aortic area radiating to the carotids

A

Aortic stenosis

2
Q

Mid-diastolic rumbling murmur, heard best with the bell of the stethoscope at the apex with the patient in the left lateral position

A

Mitral stenosis

3
Q

Pansystolic murmur heard loudest at the apex of the heart radiating to axilla

A

Mitral regurgitation

4
Q

Early diastolic murmur heard best at the left 4th intercostal space with the patient sat forward in expiration

A

Aortic regurgitation

5
Q

Describe what S1 is

A

S1 caused by closure of mitral and tricuspid valves

denotes start of systole (contraction of ventricles)

Peripheral pulse will be felt at same time or just after S1

6
Q

Describe what S2 is

A

closure of aortic and pulmonary valves

end of systole and start of diastole

7
Q

what actually is a heart murmur

A

a sound produced when blood flowing through the heart is turbulent

8
Q

Describe what you would hear in aortic stenosis

A

Ejection (Cresendo-decresendo) systolic murmur
heard loudest in the aortic area
radiating to the carotids

9
Q

describe what you would hear in aortic regurgitation

A

Early diastolic murmur

heard best at the left 4th intercostal space

the patient sat forward in expiration

10
Q

describe what you would hear in mitral stenosis

A

Mid-diastolic rumbling murmur

heard best with the bell of the stethoscope at the apex

the patient in the left lateral position

11
Q

describe what you would hear in mitral regurgitation

A

Pansystolic murmur

heard loudest at the apex of the heart

radiating to axilla

12
Q

what conditions cause blood to flow faster through the heart causing functional murmurs

A

sepsis and thyrotoxicosis