severity of cardiac lesions

Question 1

Mitral Regurgitation

Answer 1

Narrow pulse pressure/hypotension 
pulm hypertension - very severe
Otherwise:
1 Elevated jugular venous pulse
2 Displaced apex beat, LV heave, unsustained*
3 Soft S1
4 S3
1 Bibasal crackles and peripheral oedema

Question 2

Mitral Stenosis

Answer 2

1 Narrow pulse pressure
2 Prolonged diastolic murmur
3 Pulmonary hypertension: 
thrill and loud P2
TR

Question 3

Aortic regurgitation

Answer 3

Collapsing pulse
Wide pulse pressure
Soft S2
S3
Prolonged decrescendo diastolic murmur*
LVF

Question 4

Aortic Stenosis

Answer 4

Narrow pulse pressure
Slow rising pulse
Aortic thrill*
Sustained apex heave
paradoxic split S2, S4*
LV failure