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Heart Murmurs

Pediatric-Heart Murmurs

Valve AnomallyLocationRadiationIntensityPitchQualityAid
Mitral Stenosis Usually limited to apex Little or none Grade 1 to 4 Low. use bell OS follows S2 Bell on apex, pt in LL pos. on exhilation
Aortic Stenosis 2nd RT neck and L sternal boder, apex soft but often loud, w/ thrill medium-high@apex harsh, musical at apex, diamond shape pt sitting/leaning fwd
Tricuspid Regurgitation LL sternal border RT sternum, xiphoid, Lt MCL Variable Medium Blowing, holosystolic Inspiration
Ventricular Septal Defect 3,4,5th Left often wide very loud, w/ thrill high often harsh, holosystolic Lf-Rt hole
Mitral regurgitation apex Left axilla, Lt sternal boder soft to loud,apical thrill medium-high blowing, holosystolic Lf Vent-Rt Atrium
Aortic regurgitaion 2-4th left if loud to apex, Rt sternal boder grade 1-3 high, use diaphragm blowing, decrescendo diastolic pt sitting/leaning fwd w/ breath held in exhilation
Created by: justice2