Heart Sounds: Quick Review, No Sounds Flashcards Preview

Cardiology Exam IV > Heart Sounds: Quick Review, No Sounds > Flashcards

Flashcards in Heart Sounds: Quick Review, No Sounds Deck (15):
1

CHRONIC Mitral Regurgitation

Holocystolic (Systolic Disease, occurs between S1 and S2)

Accentuated by:
isometric grip
Squatting
Vassopressors

2

Acute Mitral Regurgitation

Early Systolic crescendo-decrescendo

3

Mitral Valve Prolapse

Midsystolic Click /Late Systolic Murmur

Standing- Earlier Click
Squatting -- Later Click

4

Tricuspid Regurgitation

Holocystolic

Accentuates: In inspiration

Signs: Carvallo's Sign (gets louder in inspiration like almost all Right Sided disease) , Pulsative JVD, Pulsatile Liver

5

Ventricular Septal Defect

Harsh Holocystolic

6

Aortic Stenosis

Systolic Crescendo-Decrescendo and may have ejection click early

Accentuated by:
PVC's (its the post Ectopic beat that causes this)
Squatting
Amyl Nitrite

SIgns
Radiates to Carotids
Pulsus Parvus et Tardus
Paradoxical Splitting
Diminished A2

7

HOCM AS

Systolic Crescendo Decrescendo

Accentuated by:
Valsalva
Standing
Amyl Nitrite

8

Pulmonic Stenosis

Systolic Crescendo Decrescendo

Accentuated by:
inspiration (unless click is present)

9

Aortic Insufficiency

Diastolic Decrescendo
High Pitched
Blowing

Signs:
Austin Flint Murmur (though of as a functional mitral stenosis)
Systolic Ejection murmur
Duroziez sign (Systolic murmur over femoral artery when stethoscope is compressed proximally, and a diastolic murmur over femoral artery when stethoscope is compressed distally)

Quinke Pulse (finger nail pulsatile blanching)

Hill Sign(Popliteal systolic blood pressure exceeds brachial systolic blood pressure by >60 mmHg)

Corrigan pulse (Water pump pulse)
Traube Sign (sounds like gun shot at femorals)
Mueller sign (pulsating uvula)

10

Pulmonic Insufficiency

(Graham Steel Murmur)
Early Diastolic
Decrescendo
Loud component of S2

11

Pulmonic insufficiency due to deformity

Mid diastolic
Crescendo Decrescendo
Low Pitched

12

Mitral Stenosis

Mid Diastolic
Holodiastolic if severe
Low Rumble

Due to:
Rheumatic Fever (99%)
Opening snap if early

13

Tricuspid Stenosis

Mid Diastolic
Holodiastolic if severe
Low Rumble

Accentuated on inspiration

14

Patent Ductus Arteriosus
Cervical Venous Hum

Continuous starting after s1 and ending after S2

15

Muffled Heart Sounds

Cardiac Tamponade

Look for Becks Triad:
Hypotension
JVD
Muffled heart Sounds