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Flashcards in Murmurs Deck (16):
1

Heard at apex and radiates to the left axilla (less often to left sternal border)
Soft to loud (with thrill)
Medium to high pitch
Doesn't become louder with inspiration

Mitral Regurgitation murmur

2

Heard at left lower sternal border
Radiates to R of sternum, xiphoid
Medium pitch
Intensity may increase with inspiration

Tricuspid Regurgitation murmur

3


Heard in 3rd, 4th, 5th interspace
Often loud with a thrill
S2 may be obscured because its so loud

Ventricular Septal Defect (VSD) murmur

4

What are the three types of pansystolic murmurs?

Mitral regurg murmur
Tricuspid regurg murmur
VSD murmur

5

What is the most common kind of heart murmur?

Midsystolic murmurs

6

What are the two type of non-pathological midsystolic murmurs?

Innocent murmur
Physiologic murmur

7

What are the three types of pathologic midsystolic murmurs?

Aortic Stenosis murmur
Hypertrophic Cardiomyopathy murmur
Pulmonic Stenosis murmur

8

What grades will a innocent midsystolic murmur have?

1-2 (possibly 3)

9

Heard at 2nd intercostal space
Radiate to carotids, down left sternal border, even to apex
Crescendo- decrescendo
Soft or loud w/ a thrill
Heard best with patient sitting and leaning forward

Aortic stenosis murmur

10

heard at 3rd and 4th intercostals
Doesn't radiate to the neck
High quality
Medium pitch

Hypertrophic cardiomyopathy murmur

11

Heard in 2nd and 3rd left interspaces
Radiates to left shoulder and neck
soft or loud with thrill
Cescendo-descresendo
Often harsh

Pulmonic stenosis murmur

12

Name the two type of diastolic murmurs

Aortic Regurgitation murmur
Mitral Stenosis murmur

13

Heard in 2nd to 4th left interspaces
Radiate to apex, perhaps R sternal border
High pitch
Decrescendo
Grade 1-3
Heard best with patient sitting, leaning forward

Aortic Regurgitation murmur

14

Limited to apex
Little radiation
Grades 1-4
Low pitch
Low-pitched rumble
Heard best in left lateral position
S1 is accentuated

Mitral Stenosis murmur

15

What do you use a bell for (low sounds)?

S3
S4
Mitral stenosis murmur

16

What do you use a diaphragm for? (high sounds)

S1
S2
Aortic regurg murmur
Mitral regrug murmur
Rubs