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Flashcards in PES Deck (27):
1

Heart sound: S1

tricuspid and mitral valve closure

2

Heart sound: S2

pulmonary and aortic valve closure

3

Heart sound: S3

End of rapid ventricular filling

4

Heart sound: S4

High atrial pressure or stiff ventricle

5

Pectus excavatum

sternum depressed

6

Pectus carinatum

Sternum protruding

7

Lateral decubitus

Pt rolled on left side

8

Flow through open abnormal structure during systole

Aortic Stenosis (Insufficiency)

9

Best heard at aortic

Aortic Stenosis (Insufficiency)

10

Mid systolic murmur, crescendo-decrescendo, blowing in quality

Aortic Stenosis (Insufficiency)

11

Radiates to R carotid a

Aortic Stenosis (Insufficiency)

12

Flow through structure that should be closed during systole

Mitral regurgitation

13

Best heard at apex

Mitral regurgitation

14

Holosystolic (S1 --> S2), high pitched

Mitral regurgitation

15

Radiates to left axilla

Mitral regurgitation

16

Flow through open abnormal structure during diastole

Mitral stenosis

17

Mid diastolic, opening snap with low pitched rumble

Mitral stenosis

18

No radiation

Mitral stenosis

19

Flow through structure that should be closed during diastole

Aortic regurgitation (insufficiency)

20

Early diastolic, high pitched, blowing

Aortic regurgitation (insufficiency)

21

Best heart at pulmonary

Aortic regurgitation (insufficiency)

22

Radiates down left sternal border

Aortic regurgitation (insufficiency)

23

Best heart at apex w/ pt on L side w/ bell

Mitral stenosis

24

Schamroth's Sign

No diamond shape when fingers put together = clubbing

25

Increased fremitus

--> consolidation of lung (pneumonia)

26

Decreased fremitus

--> pneumothorax, pleural effusion, emphysema

27

Cullen's sign

bluish perumbilical discoloration --> intraabdominal bleeding