Heart Sounds Flashcards
(33 cards)
wt sound should is indicative of Atrial septal defect?
split/fixed S2
cause of crescendo-decrescendo systolic ejection murmur w soft S2?
3 Symptoms?
aortic stenosis
SAD
Syncope
Angina
Dyspnea
2 cause of diastolic ejection murmur?
Aortic regurgitation
Mitral stenosis
cause of machine like murmur?
2 associations?
Patent ductus arteriousus
Rubella and prematurity
hw should pt be positioned in heart exam?
30 degrees
wt is a thrill?
grade?
palpable murmur
grade 4 murmur
when and where will a thrill associated with aortic and pulmonary stenosis?
Systole
aortic area
when and where will a thrill associated with VSD?
systole 4th intercostal space
when and where will a thrill associated with mitral regurgitation be heard?
systole
apex/mitral
when and where will a thrill associated with TOF?
systole
left lower sternal border
when and where will a thrill associated with PDA?
systole
left upper sternal border
when and where will a thrill associated with aortic regurgitation?
diastole
right sternal border
when and where will a thrill associated with mitral stenosis?
diastole
apex
hw to improve hearing murmur for high pitched sounds?
sit up and leaning forward
hw to improve hearing murmur for low pitched sounds?
supine in left lateral recumbent
wt side of stethescope for low pitched sounds?
bell
when is S1 heard?
cause?
beg of systole
closure of AV valves
when is S2 heard??
cause?
end of systole
closure of semilunar valves
when is S3 heard?
cause?
diastole
passive flow
when is S4 heard?
cause?
diastole
atrial ejection
when is splitting of S1 best heard?
expiration
when is splitting of S2 best heard?
inspiraiton
cause of high pitch murmur?
VSD
cause of low pitch?
mitral stenosis
