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11 Funny Feeling in Chest
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neptune-failed-iowa-avocado-summer-beryllium
Status
Last Update
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Published
11/02/2024
Murmur heard right after S1 at the 4th left intercostal space would be indicative of {{c1::Tricuspid Valve Regurgitation}}
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11/02/2024
Murmur heard before S2, heard best at the 2nd R intercostal space is indicative of {{c1::Aortic Valve Stenosis}}
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Murmur heard before S2, heard best at the 2nd L intercostal space would indicate {{c1::Pulmonic Stenosis}}
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Systolic Murmurs are heard after {{c1::S1}} and before {{c1::S2}}
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Diastolic Murmurs are heard after {{c1::S2}} and before {{c1::S1}}
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Systolic murmurs can be {{c1::pathologic OR physiologic}}
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Diastolic murmurs are always {{c1::pathologic}}
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A systolic murmur heard at the AV posts are due to {{c1::regurgitation}}
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A systolic murmur heard at the Aortic/Pulmonic posts is caused by {{c1::stenosis}}
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A diastolic murmur heard at the AV posts is caused by {{c1::AV valve stenosis}}
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A diastolic murmur heard at the aortic/pulmonic posts is due to {{c1::Aortic/Pulmonic Regurgitation}}
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Aortic stenosis is also known as a {{c1::crescendo/decresendo }} murmur
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Aortic stenosis is associated with radiation to the {{c1::carotids bilaterally}}
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Blood leaking back through a not-fully-closed valve is indicative of {{c1::regurgitation}}
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Turbulent blood flow through a narrow, calcified valve is descriptive of {{c1::Stenosis}}
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Mitral Regurgitation is known as a {{c1::holocystic murmur}}
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Mitral Regurgitation is associated with radiation to {{c1::the axilla}}
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Tricuspid Regurgitation is {{c1::right}}-sided and is louder upon {{c2::inspiration}}
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Tricuspid Regurgitation is also considered a {{c1::holocystic}} murmur
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A congenital hole in the ventricular septum that allows blood to mix between ventricles is a {{c1::Ventricular Septal Defect (VSD)}}
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Most right-sided murmurs will {{c1::INCREASE}} with inspiration (pulmonary side)
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Aortic regurgitation will radiate {{c1::inferiorly}}
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Mitral stenosis is a {{c1::mid/late::timing}} diastolic murmur
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Aortic regurgitation is an {{c1::early::timing}} diastolic murmur
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Heart sounds during a PAC:S1 can {{c1::differ in intensity from normal}}S2 may be {{c2::decreased}}
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Heart sounds in PVC:Similar to PAC ({{c1::S1 differs in intensity; S2 decreased}})*BOTH sounds are likely to be {{c2::split}}
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During an irregularly irregular heart beat, you would hear that {{c1::S1}} varies in intensity.
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11/02/2024
An {{c1::Austin Flint}} Murmur is due to vibration of the anterior leaflet of the {{c2::mitral valve}} as it is hit simultaneously by blood …
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11/02/2024
Summary of EKG
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{{c1::Mitral Valve Prolapse}} results in improper closure of the mitral valve, resulting in backflow into the left atrium during Systole
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{{c1::Hypertrophic Cardiomyopathy}} is a condition in which the heart muscle becomes abnormally thick, making it hard to pump
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Having the patient forcefully attempt to exhale against a closed airway (by closing their mouth and pinching their nose shut) is known as a {{c1:…
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Hypertrophic cardiomyopthy (HCM) and Mitral valve prolapse (MVP) actually get {{c1::louder}} with valsalva
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11/02/2024
Standing or performing a Valsalva results in {{c1::decreased}} venous return & preload
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Aortic stenosis is louder with {{c1::squatting}}
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{{c1::S3}} is a heart sound that occurs after S2. Normal in children and younger people if no abnormalities present.
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If abnormalities are present OR the patient is over 40 y.o., {{c1::S3}} could indicate blood entering a ventricle that is already in volume and p…
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{{c1::S4}} is a heart sound heard before S1. Caused by musculature of ventricle reverberating when blood enters and contacts thick and stiffened ventr…
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S{{c1::4}} is common in states of ventricular hypertrophy or Infiltrative Cardiomyopathies
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Pericardial Rub is due to {{c1::pericarditis}}
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Upon aucultation of the heart, a velcro-like sound is known as a {{c1::pericardial rub}}
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In pericarditis, the patient may note improvement when {{c1::leaning forward}} and worsening upon {{c1::lying down}}
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{{c1::Angina}} is a type of chest pain caused by reduced blood flow to the coronary arteries
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The {{c1::PR}} interval reflects electrical activity from the start of atrial depolarization to the start of ventricular depolarization
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The {{c1::PR}} segment is the isoelectric (flatline where no positive or negative deflection occurs) between the end of the P wave and start of Q…
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A fixed split S2 is indicative of {{c1::Atrial Septal Defects (ASD)}} and does NOT change with inspiration
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A natural delay in the closure of the pulmonic valve, caused by inspiration (increased venous return to right side of heart DELAYS closure of pulmonic…
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S3 is better heard with the {{c1::bell::part of stethoscope}}
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{{c2::Mitral regurgitation::murmur}} radiates to the {{c1::axilla}}.
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Tricuspid regurgitation radiates to the {{c1::no radiation}} (PSP)
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Most {{c2::right}}-sided heart murmurs get louder with {{c1::inspiration}}.
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{{c1::Systolic}} murmurs may or may not be pathological. {{c1::Diastolic}} murmurs always are.
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VSD radiates to the {{c1::NO RADIATION}}
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Aortic regurgitation radiates {{c1::inferiorly}} and is best heard with the patient {{c1::sitting upright and leaning forward}}.
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Fixed splitting occurs with a {{c1::left}} → {{c1::right}} shunt
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Pericarditis may present with pericardial {{c1::rub::exam finding}} and chest pain that is relieved by {{c1::leaning forward}} and worsened by {{c1::l…
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A PAC may cause {{c1::an alteration to the intensity}} of S1 and S2.
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A PVC causes {{c1::splitting}} of both S1 and S2.
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Afib, Aflutter, and sinus arrythmia effects on heart sounds:{{c1::variable intensity of S1 with no change to S2}}
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Most {{c1::left}}-sided heart murmus become softer with inspiration.
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11/02/2024
ST-{{c2::elevation}} usually indicated a {{c1::total}} blockage of the involved coronary artery and the heart muscle is currently {{c1::dying}}
Status
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