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Flashcards in Heart Sounds Deck (21):
1

Murmur with Aortic Regurg

Decrescendo diastolic

2

Murmur with Mitral Stenosis

Opening Snap + late diastolic rumble

3

Murmur with Aortic Stenosis

Ejection Click + Systolic Crescendo/Decrescendo

4

Murmur with Mitral Valve PRolapse

Midsystolic click + Systolic Crescendo – LOUD OVER APEX

5

Murmur with Mitral Regurg

Holosystolic - LOUD OVER APEX

6

Murmur with Tricuspid Regurg

Holosystolic - Loud over Tricuspid

7

Murmur with VSD

Holosystolic – LOUD OVER TRICUSPID

8

Murmur with PDA

Continuous Machine-like murmur

9

Wide Split S2

Pulmonic stenosis or Right bundle block

10

Fixed Split S2

ASD

11

Paradoxical Split S2

Aortic Stenosis or Left bundle block

12

S3 - noise represents what?

Sudden deceleration of blood filling the ventricle as it reaches its elastic limit

13

S4 - noise represents what?

Rush of blood striking a stiff ventricular wall

14

S3 seen with what pathologies?

1) CHF 2) MR 3) dilated cardiomyopathy – increased filling pressures

15

S4 seen with what pathologies?

1) RESTRICTIVE cmpthy 2) HYPERTROPHIC cmpthy 3) LV hypertrophy – Stiff Wall

16

What does handgrip maneuver make LOUDER?

AR, MVP, MR, VSD

17

What does handgrip maneuver make QUIETER?

AS, Hypertrophic cardiomyopathy murmurs

18

What does Valsalva make LOUDER?

AS, MVP

19

What does Squatting make QUIETER?

MVP, Hypertrophic Cardiomyopathy murmurs

20

What does Squatting make LOUDER?

MR

21

What does squatting help with symptomatically?

Tetralogy of Fallot - VSDs are normally L to R but the pulm HTN makes it R-to-L generating a cyanotic tet spell. Squatting increases afterload, and htus LV pressure, reversing shunt.