Murmurs Flashcards
(16 cards)
What structure should be used to describe murmurs?
S.C.R.I.P.T
Site
Character
Radiation
Intensity
Pitch
Timing
Where is the aortic area?
2nd intercostal space
Right sternal edge
Where is the pulmonic area?
2nd intercostal space
Left sternal edge
Where is Erb’s point?
3rd intercostal space
Left sternal edge
Where is the tricuspid area?
4th intercostal space
Left sternal edge
Where is the mitral area?
Apex
What’s heard best in aortic area?
Aortic valve
What’s heard best in pulmonic area?
Pulmonary valve
What’s heard best over erbs point?
S1 and S2
What’s heard best over tricuspid area?
Tricuspid valve
What’s heard best over mitral area?
Mitral valve
How is Aortic stenosis described?
S - Aortic area
C - crescendo/decrescendo (whoosh)
R - carotid arteries
I - variable
P - high
T - systolic
How is Aortic regurgitation described?
S - 2nd-4th intercostal space, left sternal edge
C - Decrescendo, blowing
R - Austin flint (rumbling at apex)
I - variable
P - high
T - early diastole
How is mitral stenosis best described?
S - apex
C - rumbling
R - no
I - variable
P - low
T - mid diastolic snap
How is mitral regurgitation best described?
S - apex
C - blowing
R - axial
I - variable
P - high
T - pansystolic