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Murmurs, Sammer Sheikh - Coggle Diagram
Murmurs
Aortic stenosis
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signs
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narrow pulse pressure - reduction in ejection fraction results in reduced systolic pressure, so diastolic and systolic pressures are closer
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may have LVF - S3, pulmonary oedema resulting in large R waves on ECG and bilateral crackles on auscultation
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Mitral stenosis
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pathology
high LA pressure --> pulmonary hypertension --> RV hypertrophy --> tricuspid regurgitation --> right heart failure
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signs
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tapping apex, palpable S1
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pulmonary hypertension (RV heave, loud P2)
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Mitral regurgitation
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pathology
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if acute rise in LA pressue, can lead to pulmonary oedema
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signs
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pulmonary hypertension - left sternal heave, loud P2
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Mitral valve prolapse
last systolic murmur, with midsystolic click
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Tricuspid regurgitation
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signs
giant V waves in JVP - giant V waves without right ventricular hypertrophy = tricuspid regurgitation
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cause
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Ebstein's anomaly - split S1, S2
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