Valvular Heart Disease (Johnson) Flashcards

1
Q

Name the murmur: holosystolic murmur, left lower sternal border with thrill, increases with handgrip

A

VSD

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2
Q

When does a MR murmur due to MVP increase?

A

Valsalva and standing

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3
Q

Name the murmur: diastolic murmur, low pitch, rumbling at apex, opening snap

A

MS

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4
Q

Which murmur grade do we first see a palpable thrill?

A

4/6

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5
Q

Which murmur is associated with a parvus and trades pulse?

A

AS

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6
Q

What are some causes of acute MR?

A

Ischemic papillary muscle
Rupture chordal tendinea
Infective endocarditis
Volume overload

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7
Q

Which murmurs are typically associated with RHD?

A

MS and TS

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8
Q

Name the murmur: systolic murmur, fixed splitting of S2

A

ASD

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9
Q

Name the murmur: systolic murmur, crescendo-decrescendo, 2-3 ICS, radiates to left shoulder

A

PS

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10
Q

Name the murmur: blowing, systolic murmur, 4th ICS, prominent V wave in jugular venous pulse

A

TR

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11
Q

Name the murmur: systolic murmur, crescendo-decrescendo, harsh 2nd ICS, radiates into sternal notch/carotids, diminished S2

A

AS

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12
Q

What type of overload does stenosis create? What about regurgitation?

A

Stenosis creates a pressure overload. Regurgitation creates a volume overload.

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13
Q

What is the two most common causes of AS?

A

Degenerative calcification and bicuspid aortic valve

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14
Q

Name the murmur: systolic murmur, blowing at apex, radiates into left axilla

A

MR

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15
Q

What genetic disorders are associated with a bicuspid aortic valve?

A

Marfans and Turners syndrome

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16
Q

What cardinal sx do we usually see with AS?

A

Dyspnea, angina, syncope

17
Q

What sx are associated with acute AR murmur? What about chronic?

A

Acute: pulmonary edema from IE
Chronic: dyspnea, orthopnea, angina

18
Q

List the systolic murmurs

A

MR, TR, AS, PS, VSD, ASD

19
Q

What are some causes of chronic MR?

A

MVP
Myxomatous degeneration
Mitral annular calcification

20
Q

List the diastolic murmurs

A

MS, TS, AR, PR, atrial myxoma