Systolic murmurs
It's the systolic murmur best heard at the RUSB and radiates to the carotids
What is Aortic Stenosis?
It's the diastolic murmur that is best heard with the bell with the patient in LLD position
What is Mitral stenosis
Valsalva and standing both do this with blood return to the heart
What is decrease it (decrease preload)?
A pulse rate <60
What is bradycardia?
A continuous sound often heard in kids in the supraclavicular area & MISTAKEN for a murmur
What is Venous hum?
It's Hallmark is "holosystolic best heard at the apex in LLD postion"
What is Mitral Regurgitation?
It's a blowing high pitch early diastolic decrescendo
What is Aortic Regurgitation?
Squatting and straight leg raise both do this with blood return to the heart
What is increase it (increase preload)?
The grade of a pulse that is weak and thready
What is 1+?
Continuous & machinery like
what is the murmur of PDA?
The congenital crescendo-decrescendo SEM, heard mostly in kids, usually without radiation
What is Pulmonic Stenosis?
The diastolic murmur heard at the Left LSB and similar to MS but softer
What is Tricuspid Stenosis?
The patient position that increases murmurs in the mitral area
What is Left Lateral Decubitus position?
The murmur thought of when you hear bisferiens (biphasic) pulse
What is AR?
Scratchy and grating throughout systole and diastole
What is Pericardial Friction Rub?
All of the systolic murmurs are high pitched and best heard with this part of the stethoscope
What is the diaphragm?
It's best heard in diastole at Erb's point (2-4th L ICS)
What is Aortic Regurgitation?
While valsalva decreases most murmurs, like AS, these 2 murmurs are increased
What is HOCM and MVP?
The pulse that indicates a drop in SBP >10mmHG and a drop in pulse amplitude in inspiration
What is a Paradoxical pulse?
Soft vibratory music in 2-5 year olds without cardiac symptoms or abnormal exam
What is Still's Murmur?
It's a mid-systolic click with a late systolic murmur best heard at the apex
What is MVP with MR?
It's Hallmark is an opening snap then a mid diastolic rumble
What is Mitral Stenosis?
While squatting increases most murmurs, like AS, these 2 murmurs are decreased
HOCM and MVP?
The pulse that is alternating strong and weak and is associated with Left heart failure
What is pulses alternans?
The descriptive term for any innocent murmur that is heard with a TEMPORARY increase in blood flow in conditions such as pregnancy & anemia
What is a physiologic murmur?