Heart Murmurs Flashcards
What are left systolic murmurs
aortic stenosis
mitral regurgitation
what are left diastolic murmurs
aortic regurgitation
mitral stenosis
what do you auscultate for aortic stenosis
aortic valve
both carotids
what do you auscultate for mitral stenosis
mitral valve (apex), roll onto left side and hold breath on expiration, use bell
what do you auscultate for mitral regurgitation
mitral valve and axilla
what do you auscultate for aortic regurgitation
ask patient to lean forward, auscultate left lower sternal edge and hold breath on expiration
What is heard in aortic stenosis plus fts
ejection systolic
radiates to carotids
louder on expiration
slow rising pulse
narrow pulse pressure
What murmurs are heard loudest on inspiration
Right sided murmurs
pulmonary stenosis
tricus regurg
What is heard in mitral stenosis
mid-late diastolic murmur
best heard on expiration
loud S1
opening snap
haemoptysis
sob
what is heard in mitral regurg
pansystolic/ holosystolic
high pithced, blowing
what is heard in aortic regurg
early diastolic murmur
high pitched blowing
collapsing
wide pulse pressure
Quincke’s sign - nailbed pulsation
De musset sign - head bobbing
what murmur is late systolic
mitral valve prolapse
coarctation of aorta
Innocent murmurs examples
Venous hums - continuos blowing
Still’s murmur - low pitched, lower left sternal edge
ejection systolic murmurs
aortic stenosis
HOCM
pulmonary stenosis
ASD
tetralogy of fallot
VSD murmur
pansystolic murmur
harsh
