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Clinical Assessment > Cardiovascular: Murmurs > Flashcards

Cardiovascular: Murmurs Flashcards

(60 cards)

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1
Q

Type of murmur for mitral regurgitation

A

pansystolic

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2
Q

Location of mitral regurgitation

A

apex

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3
Q

Radiation of mitral regurgitation

A

to left axilla, less often to left sternal border

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4
Q

Intensity of mitral regurgitation

A

soft to loud; if loud associated w/ apical thrill

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5
Q

Pitch of mitral regurgitation

A

medium to high

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6
Q

Quality of mitral regurgitation

A

harsh, holosystolic

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7
Q

Aids for mitral regurgitation

A

does not become louder w/ inspiration

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8
Q

Type of murmur for tricuspid regurgitation

A

pansystolic

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9
Q

Location of tricuspid regurgitation

A

lower left sternal border

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10
Q

Radiation of tricuspid regurgitation

A

to the right of sternum, to xiphoid area, & perhaps left midclavicular line, but NOT into axilla

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11
Q

intensity of tricuspid regurgitation

A

variable

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12
Q

Pitch of tricuspid regurgitation

A

medium

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13
Q

Quality of tricuspid regurgitation

A

blowing, holostystolic

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14
Q

Aids for tricuspid regurgitation

A

intensity may increase slightly w/ inspiration

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15
Q

Type of murmur for ventricular septal defect

A

pansystolic

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16
Q

Location of ventricular septal defect

A

3rd, 4th, 5th intercostal spaces

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17
Q

Radiation of ventricular septal defect

A

of ten

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18
Q

Intensity of ventricular septal defect

A

often very loud, w/ a thrill

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19
Q

Pitch of ventricular septal defect

A

high, holosystolic

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20
Q

Quality of ventricular septal defect

A

often harsh

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21
Q

Type of murmur for innocent/physiologic murmurs

A

midsystolic

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22
Q

Location of innocent/physiologic murmurs

A

2nd-4th left interspace between left sternal border & apex

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23
Q

Radiation of innocent/physiologic murmurs

A

none

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24
Q

Intensity of innocent/physiologic murmurs

A

grade 1-2, possibly 3

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25
Pitch of innocent/physiologic murmurs
soft to medium
26
Quality of innocent/physiologic murmurs
variable
27
Aids for innocent/physiologic murmurs
usually decreases or disappears on sitting
28
Type of murmur for aortic stenosis
midsystolic
29
Location of aortic stenosis
right 2nd interspace
30
Radiation of aortic stenosis
often to carotids, down left sternal border, even to apex
31
Intensity of aortic stenosis
sometimes soft but often loud w/ a thrill
32
Pitch of aortic stenosis
medium, hard, crescendo-decrescendo
33
Quality of aortic stenosis
often hard, may be more musical at apex
34
Aids for aortic stenosis
heard best w/ patient sitting & leaning forward
35
Type of murmur for hypertrophic cardiomyopathy
pathologic
36
Location of hypertrophic cardiomyopathy
3rd-4th left interspace
37
Radiation of hypertrophic cardiomyopathy
down the left sternal border to the apex, possibly to the base, but NOT to the neck
38
Intensity of hypertrophic cardiomyopathy
variable
39
Pitch of hypertrophic cardiomyopathy
medium
40
Quality of hypertrophic cardiomyopathy
harsh
41
Aids for hypertrophic cardiomyopathy
decreases w/ squatting, increases w/ straining down from Valsalva & standing
42
Type of murmur for pulmonic stenosis
pathologic
43
Location of pulmonic stenosis
2nd-3rd left interspace
44
Radiation of pulmonic stenosis
if loud, toward the left shoulder & neck
45
Intensity of pulmonic stenosis
soft to loud; if loud associated w/ thrill
46
Pitch of pulmonic stenosis
medium, crescendo-decrescendo
47
Quality of pulmonic stenosis
often harsh
48
Type of murmur for aortic regurgitation
diastolic
49
Location for aortic regurgitation
2nd-4th left interspace
50
Radiation of aortic regurgitation
if loud, to apex, perhaps to right sternal border
51
Intensity of aortic regurgitation
grade 1-3
52
Pitch of aortic regurgitation
high, use diaphragm
53
Quality of aortic regurgitation
blowing, decrescendo, may be mistaken for breath sounds
54
Aids for aortic regurgitation
heard best w/ patient sitting, leaning forward w/ breath held after exhalation
55
Type of murmur for mitral stenosis
diastolic
56
Location of mitral stenosis
usually limited to apex
57
Radiation of mitral stenosis
little or none
58
Intensity of mitral stenosis
grade 1-4
59
Pitch of mitral stenosis
decrescendo, low-pitched rumble, use bell
60
Aids for mitral stenosis
placing bell exactly on apical impulse, turning patient into left lateral position & mild exercise all help make murmur audible; heard better in exhalation

Clinical Assessment (3 decks)

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