Advanced Health Assessment - Exam review
rated A QUIZ 2
Holosystolic murmur heard best at Apex, may transmit to axilla and sternum. -
Mitral Regurgitation
Symptoms of Mitral regurgitation - may be asymptomatic for decades, then SOB,
Fatigue, HF
What increases the murmur of Mitral regurgitation, what decreases the murmur?
- Decrease murmur = stand up
Increase murmur = clench fist
Common causes of mitral regurgitation - Congenital abnormality, Rheumatic Heart
disease, acute endocarditis, Chordae tendinae dysfunction...
Mid-systolic grade II-III/VI, best heard between L. sternal border and apex. -
physiologic murmur - specifically "Still's Murmur" (usually ages 3-6)
Harsh, crescendo-decrescendo systolic murmur best heard at right sternal border.
Can radiate to the neck - Aortic Stenosis
,Advanced Health Assessment - Exam review
rated A QUIZ 2
What are the common symptoms of Aortic Stenosis - Chest pain, syncope, exercise
intolerance, dyspnea, CHF. May have a long latent period before sx.
what are patients at risk for with severe aortic stenosis - Sudden Death!
What am I associated with .... Medium pitched CONTINUOUS murmur in both
systole/diastole. Usually harsh, machinery like noise. Loud, sometimes a thrill is
present. (heard best L infraclavicular fossa and pulmonic area) - patent ductus
arteriosus
Mid-to late systolic murmur, may have a mid-systolic click best heard over the
lower left sternal border. - Mitral Valve Prolapse
what are the symptoms associated with MVP? - Most people are asymptomatic.
May have chest pain, palpitation, mild dyspnea, fatigue, anxiety.
Loud, blowing, high pitched diastolic murmur best heard Lower Left Sternal
Border.. - Aortic insufficiency / Aortic regurgitation
, Advanced Health Assessment - Exam review
rated A QUIZ 2
What are symptoms associated with severe aortic regurgitation? - Dyspnea,
fatigue, CHF, widened pulse pressure. Water-hammer pulse
Low pitched, mid-diastolic rumble best heard at the apex in the Left Lateral
position. May also hear an "opening Snap" - Mitral Stenosis
What is the most common cause for mitral stenosis - Rheumatic Heart Disease
What are the sx associated with Mitral stenosis? - DYSPNEA, fatigue, palpitations,
hemoptysis, angina-like chest pain. A-fib is common
What are patients with Mitral Stenosis at risk for? (2 things) -
Thromboembolization & pulmonary hypertension
Which murmurs are louder during inspiration? (left or right) - Right
Which murmurs are louder during expiration? (left or right) - Left
rated A QUIZ 2
Holosystolic murmur heard best at Apex, may transmit to axilla and sternum. -
Mitral Regurgitation
Symptoms of Mitral regurgitation - may be asymptomatic for decades, then SOB,
Fatigue, HF
What increases the murmur of Mitral regurgitation, what decreases the murmur?
- Decrease murmur = stand up
Increase murmur = clench fist
Common causes of mitral regurgitation - Congenital abnormality, Rheumatic Heart
disease, acute endocarditis, Chordae tendinae dysfunction...
Mid-systolic grade II-III/VI, best heard between L. sternal border and apex. -
physiologic murmur - specifically "Still's Murmur" (usually ages 3-6)
Harsh, crescendo-decrescendo systolic murmur best heard at right sternal border.
Can radiate to the neck - Aortic Stenosis
,Advanced Health Assessment - Exam review
rated A QUIZ 2
What are the common symptoms of Aortic Stenosis - Chest pain, syncope, exercise
intolerance, dyspnea, CHF. May have a long latent period before sx.
what are patients at risk for with severe aortic stenosis - Sudden Death!
What am I associated with .... Medium pitched CONTINUOUS murmur in both
systole/diastole. Usually harsh, machinery like noise. Loud, sometimes a thrill is
present. (heard best L infraclavicular fossa and pulmonic area) - patent ductus
arteriosus
Mid-to late systolic murmur, may have a mid-systolic click best heard over the
lower left sternal border. - Mitral Valve Prolapse
what are the symptoms associated with MVP? - Most people are asymptomatic.
May have chest pain, palpitation, mild dyspnea, fatigue, anxiety.
Loud, blowing, high pitched diastolic murmur best heard Lower Left Sternal
Border.. - Aortic insufficiency / Aortic regurgitation
, Advanced Health Assessment - Exam review
rated A QUIZ 2
What are symptoms associated with severe aortic regurgitation? - Dyspnea,
fatigue, CHF, widened pulse pressure. Water-hammer pulse
Low pitched, mid-diastolic rumble best heard at the apex in the Left Lateral
position. May also hear an "opening Snap" - Mitral Stenosis
What is the most common cause for mitral stenosis - Rheumatic Heart Disease
What are the sx associated with Mitral stenosis? - DYSPNEA, fatigue, palpitations,
hemoptysis, angina-like chest pain. A-fib is common
What are patients with Mitral Stenosis at risk for? (2 things) -
Thromboembolization & pulmonary hypertension
Which murmurs are louder during inspiration? (left or right) - Right
Which murmurs are louder during expiration? (left or right) - Left
