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Flashcards in Murmurs Deck (22)
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Fixed split S2

ASD

1

Holo systolic, high pitched 'blowing murmur'
Loudest at apex and radiates to axilla

Mitral regurgitation

2

What increases mitral regurgitation

Squatting, hand grip--> increased total peripheral resistance
expiration --> increased L atrium return

3

Holo systolic high pitched 'blowing murmur'
Loudest at tricuspid area and radiates to R sternal border

Tricuspid regurgitation

4

What increases tricuspid regurgitation murmur volume?

Inspiration--> increases R atrium return

5

Causes of mitral regurgitation

Ischemic heart disease
Mitral valve prolapse
LV dilation
Rheumatic fever

6

Causes of tricuspid regurgitation

RV dilation
Endocarditis
Rheumatic fever

7

Crescendo decrescendo systolic ejection murmur following ejection click
Radiates to carotids or apex

Aortic stenosis

8

Pulses parvus et trades (pulses weak compared to heart sounds)

Aortic stenosis

9

Cause of aortic stenosis

Age related calcification of aortic valve
Bicuspid aortic valve

10

Hold systolic harsh sounding murmur
Loudest at tricuspid area

VSD

11

Late systolic crescendo murmur with mid systolic click
Loudest at S2

Mitral prolapse

12

Increase intensity of mitral prolapse

Decrease venous return
Standing to valsalva

13

Immediate high pitched 'blowing' diastolic murmur
Wide pulse pressure
Bounding pulses and head bobbing

Aortic regurgitation

14

Cause of aortic regurgitation

Aortic root dilation
Bicuspid aortic valve
Rheumatic fever

15

Causes of mitral prolapse

Myxomatous degeneration
Rheumatic few
Chordae rupture

16

How to decrease intensity of aortic regurgitation

Vasodilators

17

Opening snap
Delayed rumbling late diastolic, murmur

Mitral stenosis

18

Causes of mitral stenosis

Rheumatic fever

19

Enhance mitral stenosis murmur

Increase L atrium return--> expiration

20

Continuous machine like murmur
Loudest at S2

PDA

21

Causes of PDA

Premature
Congenital rubella