Clinical Audio Flashcards: Littmann Library's Aortic area and Erb's Point Heart Sounds

Question 1

1) This is auscultated most clearly in the aortic area. Diagnosis? (Patient: Normal Speed, Sitting leaning forward)

Answer 1

Aortic Stenosis Moderate and Regurgitation Mild - Rheumatic

Listening Tips

Systole: Aortic ejection click followed by diamond shaped murmur.
Diastole: High pitch decrescendo murmur.

http://www.3m.com/healthcare/littmann/pn104.html

Question 2

2) This is auscultated most clearly in the aortic area. Diagnosis? (Patient: Half Speed, Sitting leaning forward)

Answer 2

Aortic Stenosis Moderate and Regurgitation Mild - Rheumatic

Listening Tips

Systole: Aortic ejection click followed by diamond shaped murmur.
Diastole: High pitch decrescendo murmur.

http://www.3m.com/healthcare/littmann/pn104.html

Question 3

3) This is auscultated most clearly in the aortic area. Diagnosis? (Synthetic: Normal Speed, Sitting leaning forward)

Answer 3

Aortic Stenosis Moderate and Regurgitation Mild - Rheumatic

Listening Tips

Systole: Aortic ejection click followed by diamond shaped murmur.
Diastole: High pitch decrescendo murmur.

http://www.3m.com/healthcare/littmann/pn104.html

Question 4

4) This is auscultated most clearly in the aortic area. Diagnosis? (Patient: Normal Speed, Sitting)

Answer 4

Aortic Stenosis (Diamond Shaped Systolic Murmur)

Listening Tips

Systole: Diamond shaped, harsh, high pitch, late peaking murmur.

http://www.3m.com/healthcare/littmann/pn123.html

Question 5

5) This is auscultated most clearly in the aortic area. Diagnosis? (Patient: Half Speed, Sitting)

Answer 5

Aortic Stenosis (Diamond Shaped Systolic Murmur)

Listening Tips

Systole: Diamond shaped, harsh, high pitch, late peaking murmur.

http://www.3m.com/healthcare/littmann/pn123.html

Question 6

6) This is auscultated most clearly in the aortic area. Diagnosis? (Synthetic: Normal Speed, Sitting)

Answer 6

Aortic Stenosis (Diamond Shaped Systolic Murmur)

Listening Tips

Systole: Diamond shaped, harsh, high pitch, late peaking murmur.

http://www.3m.com/healthcare/littmann/pn123.html

Question 7

7) This is auscultated most clearly in the aortic area. Diagnosis? (Patient: Normal Speed, Sitting)

Answer 7

First Heart Sound plus Aortic Ejection Click

Listening Tips

Systole: High pitched sound, early in systole, short duration.

http://www.3m.com/healthcare/littmann/ph43.html

Question 8

8) This is auscultated most clearly in the aortic area. Diagnosis? (Patient: Half Speed, Sitting)

Answer 8

First Heart Sound plus Aortic Ejection Click

Listening Tips

Systole: High pitched sound, early in systole, short duration.

http://www.3m.com/healthcare/littmann/ph43.html

Question 9

9) This is auscultated most clearly in the aortic area. Diagnosis? (Synthetic: Normal Speed, Sitting)

Answer 9

First Heart Sound plus Aortic Ejection Click

Listening Tips

Systole: High pitched sound, early in systole, short duration.

http://www.3m.com/healthcare/littmann/sn43.html

Question 10

10) This is auscultated most clearly in the aortic area. Diagnosis? (Patient: Normal Speed, Seated)

Answer 10

Aortic Stenosis - Severe

Listening Tips

Systole: Crescendo-decrescendo, harsh, late peaking murmur.
Diastole: S4 gallop.

http://www.3m.com/healthcare/littmann/pn7.html

Question 11

11) This is auscultated most clearly in the aortic area. Diagnosis? (Patient: Half Speed, Seated)

Answer 11

Aortic Stenosis - Severe

Listening Tips

Systole: Crescendo-decrescendo, harsh, late peaking murmur.
Diastole: S4 gallop.

http://www.3m.com/healthcare/littmann/pn7.html

Question 12

12) This is auscultated most clearly in the aortic area. Diagnosis? (Synthetic: Normal Speed, Seated)

Answer 12

Aortic Stenosis - Severe

Listening Tips

Systole: Crescendo-decrescendo, harsh, late peaking murmur.
Diastole: S4 gallop.

http://www.3m.com/healthcare/littmann/pn7.html

Question 13

13) This is auscultated most clearly in the aortic area. Diagnosis? (Patient: Normal Speed, Sitting leaning forward)

Answer 13

Coarctation of the Aorta

Listening Tips

Systole: Diamond-shaped murmur, possible early systolic ejection sounds.
S2: Increased intensity.
Diastole: High pitched, decrescendo, early murmur.

http://www.3m.com/healthcare/littmann/pn107.html

Question 14

14) This is auscultated most clearly in the aortic area. Diagnosis? (Patient: Half Speed, Sitting leaning forward)

Answer 14

Coarctation of the Aorta

Listening Tips

Systole: Diamond-shaped murmur, possible early systolic ejection sounds.
S2: Increased intensity.
Diastole: High pitched, decrescendo, early murmur.

http://www.3m.com/healthcare/littmann/pn107.html

Question 15

15) This is auscultated most clearly in the aortic area. Diagnosis? (Synthetic: Normal Speed, Sitting leaning forward)

Answer 15

Coarctation of the Aorta

Listening Tips

Systole: Diamond-shaped murmur, possible early systolic ejection sounds.
S2: Increased intensity.
Diastole: High pitched, decrescendo, early murmur.

http://www.3m.com/healthcare/littmann/pn107.html

Question 16

16) This is auscultated most clearly in the aortic area. Diagnosis? (Patient: Normal Speed, Seated)

Answer 16

Prosthetic Heart Sound - Aortic

Listening Tips

Sounds from a mechanical heart valve with stethoscope at the aortic position.

http://www.3m.com/healthcare/littmann/pn132.html

Question 17

17) This is auscultated most clearly in the aortic area. Diagnosis? (Patient: Half Speed, Seated)

Answer 17

Prosthetic Heart Sound - Aortic

Listening Tips

Sounds from a mechanical heart valve with stethoscope at the aortic position.

http://www.3m.com/healthcare/littmann/pn132.html

Question 18

18) This is auscultated most clearly at erb’s point. Diagnosis? (Patient: Normal Speed, Sitting leaning forward)

Answer 18

Acute Pericarditis

Listening Tips
S1: Rubbing, scratchy sound.
Systole: Rubbing, scratchy sound, usually loudest during systole.
S2: Rubbing, scratchy sound.
Diastole: Rubbing, scratchy sound.

http://www.3m.com/healthcare/littmann/pn106.html

Question 19

19) This is auscultated most clearly at erb’s point. Diagnosis? (Patient: Half Speed, Sitting leaning forward)

Answer 19

Acute Pericarditis

Listening Tips

S1: Rubbing, scratchy sound.
Systole: Rubbing, scratchy sound, usually loudest during systole.
S2: Rubbing, scratchy sound.
Diastole: Rubbing, scratchy sound.

http://www.3m.com/healthcare/littmann/pn106.html

Question 20

20) This is auscultated most clearly at erb’s point. Diagnosis? (Synthetic: Normal Speed, Sitting leaning forward)

Answer 20

Acute Pericarditis

Listening Tips

S1: Rubbing, scratchy sound.
Systole: Rubbing, scratchy sound, usually loudest during systole.
S2: Rubbing, scratchy sound.
Diastole: Rubbing, scratchy sound.

http://www.3m.com/healthcare/littmann/pn106.html

Question 21

21) This is auscultated most clearly at erb’s point. Diagnosis? (Patient: Normal Speed, Supine)

Answer 21

Mediastinal Crunch

Listening Tips
Systole: Crunching sound, louder during inspiration.
Auscultate over mitral area and left sternal border.

http://www.3m.com/healthcare/littmann/pn130.html

Question 22

22) This is auscultated most clearly at erb’s point. Diagnosis? (Patient: Half Speed, Supine)

Answer 22

Mediastinal Crunch

Listening Tips
Systole: Crunching sound, louder during inspiration.
Auscultate over mitral area and left sternal border.

http://www.3m.com/healthcare/littmann/pn130.html

Question 23

23) This is auscultated most clearly at erb’s point. Diagnosis? (Patient: Normal Speed, Sitting leaning forward)

Answer 23

Aortic Regurgitation (Decrescendo Diastolic Murmur)

Listening Tips
Diastole: High pitched, musical decrescendo murmur, early diastole.

http://www.3m.com/healthcare/littmann/pn124.html

Question 24

24) This is auscultated most clearly at erb’s point. Diagnosis? (Patient: Half Speed, Sitting leaning forward)

Answer 24

Aortic Regurgitation (Decrescendo Diastolic Murmur)

Listening Tips
Diastole: High pitched, musical decrescendo murmur, early diastole.

http://www.3m.com/healthcare/littmann/pn124.html

Question 25

25) This is auscultated most clearly at erb's point. Diagnosis? (Synthetic: Normal Speed, Sitting leaning forward)

Answer 25

Aortic Regurgitation (Decrescendo Diastolic Murmur) Listening Tips Diastole: High pitched, musical decrescendo murmur, early diastole. http://www.3m.com/healthcare/littmann/pn124.html