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heart murmurs
classical findings
disease | systolic / diastolic | murmur | physical exam |
---|---|---|---|
MR | systolic | blowing holosystolic murmur radiating to AXILLA | laterally displaced PMI, systolic thrill |
TS | diastolic | diastolic rumble | murmur louder with inspiration |
TR | systolic | blowing holosystolic murmur at LSB | jugular and hepatic pulsations; murmur louder with inspiration |
AS | systolic | midsystolic crescendo-decrescendo murmur at 2nd right interspace; radiates to CAROTIDS and apex; S4 due to atrial kick | pulsus parvus et tardus (peripheral pulses weak and late compared to heart sounds) |
AR | diastolic | 1) blowing early diastolic at aorta and LSB 2) Austin Flint = apical diastolic rumble 3) midsystolic flow murmur at base | W-I-D-E pulse pressure, laterally placed PMI, pulsus bisferiens |
MS | diastolic | opening snap --> diastolic rumble | RV lift secondary to RVH |
MVP | systolic | midsystolic click --> late systolic murmur | valsalva --> click earlier in systole, murmur prolonged |