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CMN574 > unit 1 murmurs > Flashcards

unit 1 murmurs Flashcards

1
Q

what 4 murmurs are systolic?

A

*TR
*PS
*MR
*AS
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2
Q

what 4 murmurs are diastolic?

A

*TS (mid-diastolic)
*PR
*MS
*AR
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3
Q

tricuspid stenosis sound- 3 qualities

A
  • low-pitched rumbling
  • opening-snap
  • increases with inspiration
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4
Q

EKG change AW Tricupsid stenosis

A

*giant A wave

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5
Q

physical s/s AW tricuspid stenosis

A
  • peripheral edema
  • ascites
  • pulsating enlarged liver
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6
Q

treatment for tricuspid stenosis?

A
  • diuretics

* valve replacement

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7
Q

s/s of tricusipid stenosis are secondary to what type of HF?

A

right

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8
Q

s/s of tricuspid regurg are secondary to what type of HF?

A

right

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9
Q

timing of tricuspid regurg murmur

A

*holosystolic

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10
Q

sound of tricuspid regurg murmur

A
  • blowing
  • coarse
  • musical
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11
Q

risk factors for tricuspid stenosis?

A
  • female

* rheumatic HD

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12
Q

risk fx for tricuspid regurg

A

*IVDU

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13
Q

physical s/s of tricuspid regurg

A
  • peripheral edema

* ascites

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14
Q

what arrythmia is common with tricuspid regurg?

A

afib/flutter

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15
Q

tx for tricuspid regurg?

A

diuretics

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16
Q

sounds of pulmonic stenosis

A
  • PULM EJECTION CLICK
  • crescendo-decrescendo
  • low-harsh pitched rumbling
  • INCREASES W INSPIRATION
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17
Q

etiology of pulmonic stenosis?

A
  • congenital

* asymp til adulthood

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18
Q

tx of pulmonic stenosis?

A
  • serial f/u

* ballon valvuloplasty

19
Q

what type of HF symptoms are present with pulm regurg?

A

right

20
Q

risk for pulm regurg?

A

female

21
Q

sounds of pulmonic regurg

A
  • hight pitched
  • decrescendo
  • immediately after S2
  • INCREASES W INSPRATION
  • SILENT DURING SYSTOLE
  • heard best leaning forward
22
Q

treatment for pulmonic regurg?

A

treat the pulm HTN’s primary cause

23
Q

mitral stenosis sounds

A
  • low pitched
  • rumbling
  • use bell of steth to hear
  • best heard left lateral position
24
Q

timing of mitral stenosis sounds?

A

opening snap to S2

25
Q

which murmur is best heard leaning forward?

A

pulmonic regurg

26
Q

which murmur is best heard in the left lateral position?

A

mitral stenosis

27
Q

rheumatic fever increases risk of what two valvular disorders?

A
  • mitral stenosis

* mitral regurg

28
Q

rhuematic HEART disease is a rf for what valvular disorder?

A

*tricuspid stenosis

29
Q

pregnancy and A-fib can lead to symptoms of which valvular disorder?

A

mitral stenosis

30
Q

tx mitral stenosis

A
  • mech valve when symp

* coumadin

31
Q

timing of mitral regurg murmur

A

*pansystolic

32
Q

sounds of mitral regurg murmur

A
  • MID SYS CLICKS
  • blowing
  • high pitched
  • musical
33
Q

a-fib is common in which valve disorder?

A

Mitral regurg

34
Q

mitral regurg murmur radiates to?

A

axilla

35
Q

tx mitral regurg?

A

surgery when symp

36
Q

sound of aortic stenosis murmur

A

crescendo-decrescendo

37
Q

timing of aortic stenosis

A

btwn S1 and S2

38
Q

sounds of aortic stenosis murmur

A

harse
rough
prominent S4

39
Q

aortic stenosis is best heard in what position with what side of steth?

A

*lean forward,
HOLD BREATH
*diaphragm

40
Q

aortic stenosis murmur radiates to

A

carotids

41
Q

aortic stenosis tx

A
  • TAVR
  • plavix & ASA lifelong
  • no DOACs
42
Q

if you hear calcified valve what disorder should you think of

A

aortic stenosis

43
Q

sound of aortic regurg murmur

A

blowing

often it is faint

44
Q

aortic regurg tx

A
  • treat s/s of LV

* surgery

CMN574 (6 decks)

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