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Notes in
03 Valvular Functions and Disorders
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Published
10/17/2023
Which part of the pressure-volume loop corresponds with isovolumic contraction?{{c1::From the bottom right to the top right}}
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S1 and S2 correspond with {{c1::AV valve closing::S1}} and {{c1::semilunar valve closing::S2}}
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The majority of murmurs are {{c1::innocent, physiologic, benign compared to pathologic}}
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S3 and S4 are best heart with the {{c1::bell}} of the stethoscope
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S1 and S2 are best heart with the {{c1::diaphragm}} of the stethoscope
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Murmurs are instances of {{c1::turbulent blood flow,}} and most of them are benign
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A {{c1::long::short vs. long}} PR interval leads to {{c1::more::more vs. less}} filling of the LV, causing S1 to be {{c1::quieter::louder vs. quieter}…
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A {{c1::short::short vs. long}} PR interval leads to {{c1::less::more vs. less}} filling of the LV, causing S1 to be {{c1::louder::louder vs. quieter}…
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You can have physiological splitting of S1 where the {{c1::mitral}} valve closes before the {{c1::tricuspid}} valve, and this is because inspiration {…
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In physiological heart splitting, {{c1::mitral}} valve closure is louder than {{c1::tricuspid}} valve closure
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S2 has a slightly {{c1::higher}} pressure and pitch when compared to S1
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The {{c1::aortic}} valve closes before the {{c1::pulmonary}} valve, and inspiration {{c2::accentuates}} this split
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You can have physiological splitting of S2 where inspiration causes {{c1::negative::negative}} intrathoracic pressure -> {{c1::more::more vs. less}…
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In aortic stenosis, the LV is at {{c2::higher::higher vs. lower}} pressure because of the narrowing of the aortic valve, causing a {{c1::crescendo-dec…
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In aortic stenosis, the more stenosis you have, the {{c1::higher}} pressure the LV is going to be which means that the pressure difference between the…
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Aortic regurgitation is a {{c1::diastolic}} murmur
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{{c1::Aortic regurgitation::what condition?}} is when the aortic valve can't catch the ejected blood, so the blood wants to flow from the {{c2::high::…
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Aortic regurgitation presents with a {{c1::decrescendo::describe it}} murmur since there is a {{c1::greater pressure difference}} between the aorta an…
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The {{c1::lower::higher vs. lower}} the pressure difference, the {{c2::quieter}} the murmur since {{c1::less::more vs. less}} blood will be flowing
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Mitral regurgitation is a {{c1::systolic}} murmur
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In mitral regurgitation, when the LV squeezes (during systole), there is a pressure difference between the {{c1::LV}} and the {{c1::LA}} which leads t…
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Mitral stenosis is a {{c1::diastolic}} murmur
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Mitral regurgitation has a murmur that {{c1::does not::does vs. does not}} change intensity as blood is always flowing back into the LA
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{{c3::Mitral stenosis}} may have an {{c2::opening snap}} which is the sudden tensing and doming of the mitral valve leaflets due to high LA pressure w…
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Mitral stenosis has a {{c1::decrescendo-crescendo::describe it}} murmur because a lot of blood is rushing out when {{c2::the mitral valve opens}} and …
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The patent ductus arteriosus connects the {{c1::aorta}} and the {{c1::pulmonary artery}}
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In {{c2::Patent ductus arteriosus}}, you have a {{c1::continuous}} murmur because the pressure in the aorta is always {{c1::higher::higher vs. lower}}…
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In patent ductus arteriosus, the {{c2::systolic}} pressure gradient between the aorta nad pulmonary artery is {{c1::100}} mmHg and the {{c2::diastolic…
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ASD allows for flow from the {{c1::LA}} to the {{c1::RA}} and thus, more blood flow acros the {{c2::pulmonary}} valve
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In {{c3::ASD}}, the additional blood flow across the pulmonary valve causes a {{c2::wide, fixed split S2}} as the pulmonary valve closes {{c1::later::…
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{{c1::Lower}} pressure differences cause a {{c2::softer}} murmur and {{c1::larger}} pressure differences cause a {{c2::louder}} murmur
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