Location and Radiation
2nd right intercostal space -> neck
What is aortic stenosis
What is the physiology of the Valsalva maneuver?
What is increasing intrathoracic pressure (reduces LV size-> decreases venous return to R heart-> L heart)
Pansystolic, blowing
What is mitral regurgitation
Name the murmur and condition:
A young woman presents for monocular vision loss. She previously treated for a condition with a malar rash, photosensitivity, pericarditis, and multiple pregnancy losses. A 2/6 holosystolic murmur is heard at the apex with radiation toward the axilla.
What is Libman-Sacks endocarditis and mitral regurgitation
Apex-> left axilla
What is mitral regurgitation (or prolapse)
Name 2 murmurs that decrease with Valsalva.
What are aortic stenosis; tricuspid regurgitation; or tricuspid stenosis
Harsh, crescendo-decrescendo,. As pathology progresses, the murmur will peak later in diastole.
What is aortic stenosis
2nd and 3rd left intercostal space-> if loud will radiate towards left shoulder and neck
What is pulmonic stenosis
Name 2 murmurs that increase with Valsalva.
What are hypertrophic obstructive cardiomyopathy and mitral valve prolapse
What is a patent ductus arteriosus.
3rd or 4th lefter intercostal space-> down left sternal boarder to apex, not to the neck
What is hypertrophic cardiomyopathy
This murmur increases with Valsalva but decreases with squatting and isometric hand grip
What is hypertrophic obstructive cardiomyopathy or mitral valve prolapse
Blowing, decrescendo after S2. Often mistaken for breath sounds.
What is aortic regurgitation.
3rd, 4th, and 5th left intercostal space that radiates widely. Often with a palpable thrill.
What is a VSD
Blowing, holosystolic murmur that increases in intensity with inspiration
What is tricuspid regurgitation
A loud, crescendo-decrescendo systolic murmur with widely split S2
What is pulmonic stenosis