Cardiology Potpourri
In Shock
Murmur Has It
A picture is worth 1K words

Kalamazoo and the Mitten
100

This valve closure sound is heard best with the diaphragm at the apex. 

What is S1?

100

JVD, S3, crackles, LE edema. Decreased CO & elevated SVR

What is Cardiogenic Shock?

100

Crescendo Decrescendo Systolic Murmur best heard at the right USB radiating to the carotid

What is aortic stenosis?

100

Best heard at the apex

What is Mitral Regurgitation?

100

Best Beer in America 2016 - 2020

Two Hearted Ale

200

PMI lateral to the mid clavicular line

What is LV dysfunction/dilatation/hypertrophy?

200

Nausea & Kussmaul's Breathing. Low CO, no JVD and elevated SVR

What is Hypovolemic shock?

200

Best heard in the upright position at Erb's point with patient leaning forward at full expiration

What is aortic regurgitation?

200

Best heard at the apex

What is Mitral Stenosis?

200

Local Ski Resort with 250 feet vertical drop

What is Timber Ridge Resort Ski Area?

300

This vein gives an approximation of CVP and can be visible over the SCM muscle. 

What is the external jugular vein?

300

Bradycardia, decreased sensation, low CO, no JVD, decreased SVR

What is Neurogenic shock?

300

Listening in the left lateral decubitus position can best pick up this mid diastolic rumble

What is mitral stenosis?

300

What is Atrial Septal Defect?

300

This city has the only authentic working windmill in the US.

What is Holland, MI?


400

This valve disorder is associated with a soft S2 with a weak carotid upstroke

What is Aortic Stenosis?  

400

Elevated C-reactive protein, normal CO, no JVD and decreased SVR

What is Septic shock?

400

This murmur has both a systolic and diastolic component.

What is Patent Ductus Arteriosus?

400

Best heard at the LSB

What is Mitral Valve Prolapse with Regurgitation?

400

Keith Richards of the Rolling Stones visited this factory in 1975. 

What is the Gibson Guitar Company?

500

This valvular disorder is becomes more symptomatic with elevated heart rate. 

What is mitral regurgitation?  Due to less diastolic filling time. 

500

Elevated Heart Rate, JVD and Pulsus Paradoxus. Low CO and elevated SVR

What is Obstructive shock/Pericardial Tamponade?

500

Holosytolic Murmur best heard at the LSB which  increases withinspiration

What is Tricupsid Regurgitation?

500

JVP pattern suggests this arrhythmia

What is Atrial Fibrillation?

500

100K people voted this area of Michigan the most beautiful spot in North America in 2011 on Good Morning America.