Murmurs sounds...crescendo/decrescendo etc

Question 1

the sound of aortic dissection

Answer 1

decrescendo

look for widened mediastinum and an aortic knob (if the tear made it all the way to the aortic root).

Question 2

sound of aortic stenosis

Answer 2

systolic crescendo-decrescendo that radiates to the carotids

Pulsus parvus et tardus (weak, delayed carotid upstroke)

Question 3

sound of aortic regurg

Answer 3

blowing diastolic mumur at the left sternal border, mid diastolic murmur (austin flint murmur

Question 4

treatment for aortic regurg

Answer 4

vasodilator therapy (DHPs or AceI) until symptoms become severe enough for valve replacement

Question 5

sound of mitral stenosis

Answer 5

opening snap and mid diastolic murmur at the apex

Question 6

tx for mitral stenosis and mitral regurg

Answer 6

antiarrythmics for symptomatic relief

mitral balloon valvotomy or valve replacement eventually

Question 7

mitral regurg

Answer 7

holosystolic murmur radiating to the axilla

Question 8

decrescendo murmur heard after S2 on the left sternal border

Answer 8

mitral regurg

Question 9

aortic stenosis presents with

Answer 9

radiates to the carotids!!

Left axis deviation/also LVH

Pulmonary htn/SOB

Question 10

Austin flint murmur

Answer 10

Mid diastolic murmur aortic regurg

Question 11

what is the murmur you hear with hocm?

what might you see on EKG?

Answer 11

mitral regurg, with S4 gallop

cannon A waves (signifying left heart block)