murmursch9bates.txt

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Author:
adamarine
ID:
96081
Filename:
murmursch9bates.txt
Updated:
2011-08-03 17:51:05
Tags:
bates
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Description:
murmurs
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  1. murmur begins after S1 & stops b4 S2 with brief gaps
    midsystolic
  2. murmurs that typically arise from blood flow across SL valves
    midsystolic
  3. murmu starts with S1 & stops at S2 without a gap
    pansystolic/holosystolic
  4. murmur that often occurs w/regurge across atrioventricular valves
    pansystolic
  5. murmur starts in mid to late systole & persists up to S2
    late systolic represented by mitral valve prolapse
  6. murmur starts immediately after S2 w/out a discernible gap that fades into silence b4 the next S1
    early diastolic
  7. murmur starts a short time after S2
    middiastolic
  8. murmurs accompany regurgitant flow across incompetent SL valves
    early diastolic
  9. murmurs reflect turbelent flow across the atrioventricular valves
    mid dia & pre sys
  10. murmur starts in late diastole & continues up to S1
    late diastolic/presystolic
  11. this murmur grows louder
    cresendo
  12. this murmur grows softer
    decresendo
  13. this murmur rises in intensity then falls
    cresendo-decresendo
  14. this murmur has the same intensity throughout
    platue
  15. Give an example of a cresendo murmur
    pre sys of mitral stenosis in NSR
  16. Give an example of a decresendo murmur
    early dia of aortic reg
  17. Give an example of a cres-decr murmur
    midsys of aortic stenosis
  18. Give an example of a platue murmur
    pansys of mitral reg
  19. What are two special maneuvers to identify systolic murmurs
    • standing strain of valsalva
    • squatting releasing valsalva
  20. standing strain of valsalva has what effect on cardiovascular system
    • decreased LVV from a decreased venous return
    • decreased vascular tone=decrease art BP
  21. A standing strain of valsalva causes a decreased venous return to the heart explain the effects on the 3 systolic murmurs
    • MVP=increase prolapse in MV
    • HCM=increase outflow obstruction
    • AS=decrease BV ejected into aorta
  22. A standing strain of valsalva cause a decreased vascular tone explain the effects on the 3 systolic murmurs
    • MVP=click moves earlier in sys & murmur lengthens
    • HCM=increase intensity of murmur
    • AS=decrease intensity of murmur
  23. Squatting or release of valsalva has what effect on the CV system
    • increased LVV=increase venous return
    • increased vasc tone=increase BP & PVR
  24. Squatting or release of valsalva causes an increase in venous return resulting in what on the 3 sys murmurs
    • MVP=decrease prolapse of MV
    • HCM=decrease outflow obstr
    • AS=increase BV ejected into aorta
  25. squatting or release of valsalva cause ain increased vascular tone resulting in what on the 3 sys murmurs
    • MVP=delay click & murmur shortens
    • HCM=decrease intensity of murmur
    • AS=increase intensity of murmur
  26. what are the 3 pansystolic murmurs
    • MR
    • TR
    • VSD
  27. What are the midsystolic murmurs
    • IM
    • phys
    • path=AS;HCM & PS
  28. what are the diastolic murmurs
    • AR
    • MS
  29. This murmur is found at the apex, radiates to the left axilla, soft to loud intensity, med to high pitch with a harsh holosystolic quality
    MR
  30. This murmur is found in the lower left sternal border that radiates to the right side of sternum, xiphoid area & perhaps to the left MCL but not into the axilla. It varies in intensity with a medium pitch & has a blowing holosystolic quality
    TR
  31. This murmur is found at the 3,4,5th left interspaces that is often wide while oftening having a very loud intensity with a thrill & high holosystolic pitch with a harsh quality
    VSD
  32. this murmur is found at the right 2nd IS that radiates often to the carotids, down the left sternal border even to the apex. It is soft but often loud w/thrill & has a med harsh cresendo-decresendo pitch that may be higher at the apex. It is often harsh with a musical quality at the apex & heard best with the patient siting while leaning forward
    AS
  33. This murmur is found at the 3,4th left IS that radiates down the left sternal border to the apex maybe even the base but not to the neck. It has a variable intensity & med pitch, harsh quality.
    HCM
  34. this murmur is found at the 2,3 left IS that radiates when loud toward the left shoulder/neck. It is soft to loud in intensity & has a thrill when loud. It is med in pitch;cresendo-decresendo with a harsh quality.
    PS
  35. This murmur is found at the 2 to 4th left IS that if loud will radiate toward the apex & perhaps to the R sternal border. It has an intensity of a grade 1 to 3 with high pitch & a blowing decrescendo that may be mistaken for breath sounds.
    AR
  36. This murmur is found usually at the apex that has very little radiation with an intensity of anywhere from a 1 to 4 that has a decresendo low pitched rumble
    MS

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