Diastolic Murmurs Flashcards
What are the common diastolic murmurs?
Aortic regurgitation
Mitral stenosis
What type of murmur was aortic regurg?
Decrescendo early diastolic
Where is aortic regurg heard?
Left sternal edge - Erb’s point
- 3rd ICS
What are the associated signs of aortic regurg?
Corrigan's sign De Musset's sign Quincke's sign Duroziez's sign Traube's sign Muller's sign
What is Corrigan’s sign?
Visible distention and collapse of carotid arteries
What is De Musset’s sign?
Head bobbing with each heartbeat
What is Quincke’s sign?
Pulsations seen in nail bed with each heartbeat
What is Duroziez’s sign?
Stethoscope placed over femoral arteries
Pressure applied proximal to stethoscope - systolic murmur heard
Pressure applied distal to stethoscope - diastolic murmur heard
What is Traube’s sign?
‘Pistol shot’ sound heard when stethoscope placed over femoral artery
What is Muller’s sign?
Uvula pulsations seen with each heartbeat
What type of murmur is mitral stenosis?
Low-pitched mid-diastolic murmur
Where is mitral stenosis heard?
Apex
How can mitral stenosis be made louder?
Roll patient to side and expire
When is mitral stenosis louder?
Expiration
What is mitral stenosis associated with?
Malar flush
Atrial fibrillation
