murmur Flashcards

(39 cards)

1
Q

aortic stenosis

A

Harsh systolic ejection crescendo-decrescendo late peaking murmur

split S2

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2
Q

aortic regurgitation

A

Diastolic Decrescendo murmur

A Rehman Doible D

HIGH PITCHED

heard best when leaning forward in full expiration in a quiet room

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3
Q

mitral stenosis

A

low pitched mid diastolic rumbling murmur with pre systolic accentuation AFTER OPENING SNAP

Decrescendo

Maria Sherapova dd

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4
Q

Austin Flint Murmur

A

Aortic Regurgitation

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5
Q

Corrigan Pulse

A

water hammer pulse Aortic Regurg

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6
Q

Quincke Sign

A

visible palpitations under fingernail bed with light compression of the fingernail

Aortic Regurgitation

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7
Q

most common cases of mitral stenosis

A

rheumatic fever, also most common in females

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8
Q

how to treat rheumatic fever

A

Benzathine Penicillin

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9
Q

Mitral Valve Prolapse

A

High pitched, mid-late systolic crescendo descrendo murmur WHOOPING OR HONKING

Mid systolic click

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10
Q

Mitral Regurg

A

High pitched apical Pansystolic murmur

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11
Q

Tricuspid Stenosis

A

Mid diastolic rumble with pre systolic accentuation

opening snap

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12
Q

Tricuspid Regurgitation

A

BLOWING HOLOSYSTOLIC murmur intensified during inspiration

R sided HF

Distended neck veins

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13
Q

Pulmonic stenosis

A

Loud harsh. systolic murmur, radiates toward left shoulder

EJECTION CLICK

Crescendo decrescendo

decreased with inspiration the murmur

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14
Q

Pulmonic Regurgitation

A

High pitched, decrescendo diastolic murmur along the left sternal border

Penelope cRuz dd

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15
Q

Who’s midsystolic

A

Adam Sandler
MVP
Patrick Stewart

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16
Q

Who’s harsh and mid?

A

Patrick Stewart and Adam Sandler

17
Q

AS, PS, MVP

A

They are all crescendo decrescendo

18
Q

Holosystolic holo card

A

Tony Romo and Marco Reus

Also they are blowing holosystolic

19
Q

Rinspiration Lexpiration

A

Hear right sided better during inspiration

Hear left sided better during expiration.

20
Q

Aortic stenosis and pulmonic stenosis

A

Split S2 on both

Left bbb and right bbb respectively

21
Q

Mitral stenosis and tricuspid stenosis

A

Opening snap cuz they’re both atrioventricular

22
Q

Aortic stenosis why’s it caused?

A

Mostly because older people over 70 through calcium deposition

Other people are born this way

23
Q

Treatment for AS

A

Aortic valve replacement
and treat cardiovascular risk factors like weight, cholesterol, HTN (NO BB), exercise

24
Q

So who gets what kinda valve

A

Mechanical if you’re under 60
must also take anti coal with it

Over 60 you get bovine valve

25
Aortic Insufficiency or regurg
Key thing is extensional dyspnea and paroxysmal nocturnal dyspnea
26
Treatment for AI/AR
Surgical replacement TAVR?
27
Common symptoms for MS
Chest pain because of PULM HTN AFIB because It affects atria Paroxysmal nocturnal dyspnea RHF symptoms Thromboembolism cause of afib
28
Treatment for MS
Anticoagulant like warfarin Percutaneous Mitral Balloon Valvuloplasty Valve replacement surgery if symptomaticmi
29
Mitral Regurg/Insuff caused by?
Most commonly caused by MVP
30
Other secondary causes
Rheumatic fever Myxomatous degeneration endocarditis
31
Most common form of valvular heart disease
Mitral valve prolapse also more common in young women
32
MR/MI treatment
If A Fib Coumadin Treatment of HF Diuretics, BB, Ace Surgical valve replacement Mitral Clip TAVI
33
Key finding with TS
JVD and a GIANT A WAVE
34
Treatment for TS
Diuretics to relieve RHF congestion Not really surgery but you can if you need to ONLY BIOPROSTHETIC VALVES
35
TR treatment
Diuretics for right sided hf Surgery
36
Pulmonary stenosis who gets it more
Kids and females also on PE DECREASED WITH INSPIRATION
37
Tx for PS
Mild asymptomatic Moderate asymptomatic Diuretics for symptoms Balloon valvuloplasty
38
PR Tx and a fun fact
Most patients are asymptomatic Surgical repair is rare focus on underlying cause
39
All midmystolic murmurs have a click
Ejection click on AS PS Mid systolic late click