STUDY: CARDIAC | PRACTICE
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,mitral regurgitation sound & murmur type loud, high pitched, holoSYSTOLIC radiates to axllia, heard in s1, at apex w/ stethoscope
diaphragm.
Mitral Listening Point 5th intercostal space, mid-clavicular line
Aortic Listening Point 2nd Inter Costal Space Right of Sternum
aortic regurgitation (aortic insufficiency) incompetent aortic valve allowing backward blood flow into left
ventricle during diastole
aortic stenosis murmur "mid-systolic ejection murmur best heard at the 2nd right intercostal space"
MR Peyton Manning As MVP, Systolic Murmurs Mitral Regurgitation
Physiologic Murmur
Aortic Stenosis
Mitral Valve Prolapse
Radiating murmurs only systolic murmurs radiate
, Mitral Valve Prolapse -Improper closure of the mitral valve
-Most common
ARMS, Diastole Murmurs Aortic Regurgetation
Mitral Stenosis
S1 first heart sound atrioventricular (mitral and tricuspid) valves close
S2 second heart sound produced by closure of semilunar (aortic and pulmonic) valves
mitral regurgitation Systolic Murmurs
Radiates to axilla loud blowing high pitched
aortic stenosis -narrowing of the aorta
-mid systolic ejection
-radiates to neck
-harsh noisy.
-avoid physical exertion
-sudden death
Diastolic murmurs qualities -Mitral stenosis low pitched rumbling, at apex
-Aortic regurgitation, high pitched blowing (use diaphragm)
Mitral stenosis heard at apex