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

1
Q

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

A

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

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2
Q

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

A

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

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3
Q

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

A

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

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4
Q

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

A

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

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5
Q

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

A

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

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6
Q

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

A

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

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7
Q

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

A

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

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8
Q

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

A

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

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9
Q

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

A

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

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10
Q

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

A

Aortic Stenosis - Severe

Listening Tips

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

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

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11
Q

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

A

Aortic Stenosis - Severe

Listening Tips

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

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

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12
Q

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

A

Aortic Stenosis - Severe

Listening Tips

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

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

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13
Q

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

A

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

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14
Q

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

A

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

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15
Q

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

A

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

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16
Q

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

A

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

17
Q

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

A

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

18
Q

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

A

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

19
Q

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

A

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

20
Q

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

A

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

21
Q

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

A

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

22
Q

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

A

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

23
Q

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

A

Aortic Regurgitation (Decrescendo Diastolic Murmur)

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

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

24
Q

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

A

Aortic Regurgitation (Decrescendo Diastolic Murmur)

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

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

25
Q

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

A

Aortic Regurgitation (Decrescendo Diastolic Murmur)

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

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