Cardiology Flashcards
Murmur of of aortic stenosis is transmitted downward to the apex
Confused with systolic murmur of mitral regurgitation
Gallavardin effect
High pitched, diastolic, de crescendo blowing murmur along the left sternal border due to dilation of the pulmonary valve ring
Occurs in mitral valve disease and severe pulmonary hypertension
Graham steel murmur of pulmonary regurgitation
Weak and late peripheral pulse in aortic stenosis
Pulsus parvus et tardus
A rapidly rising water hammer pulse
Collapses suddenly as arterial pressure falls rapidly during late systole and diastole
Corrigan’s pulse
Capillary pulsation a
Alternate flushing and paying of the skin at the root of the nail while pressure is applied to the top of the nail
Quincke’s pulse
A booming pistol shot sound heard over the femoral artery
Traube’s sign
To and fro murmur audible over the femoral artery
Doroziez sign
Apical pulse is reduced and may retract in systole in constrictive pericarditis
Boradbent’s sign
Patch of dullness and increased fremitus below the left scapula due to pericardial effusion
Ewart’s sign
Rise and lack of fall of JVP with inspiration due to constrictive pericarditis
Kaussmaul’s sign
Crunching noise synchronous with the heart beat in pneumomediastinum
Hamman’s sign
Apical diastolic murmur
Opening snap
RHD is leading cause
LAE, RAD, RVH
Mitral stenosis
Apical holosystolic murmur radiating to the axilla
Rheumatic Fever
Mitral regurgitation
Apical mid or late non systolic click followed by crescendo-de crescendo murmur accentuated by standing and Valsalva
Found in heritable connective tissue disease
Mostly in women
Mitral valve prolapse
Floppy valve syndrome
Barlow’s syndrome
Mid systolic ejection murmur at 2nd R ICS transmitted to the apex (Gallavardin effect)
Most commonly. Amused by degenerative calcification
MC congenital heart defect is bicuspid aortic valve
Aortic stenosis
