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+--- Thread: what's this murmur - mdkhayat (/showthread.php?tid=808301)
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what's this murmur - mdkhayat - ArchivalUser - 05-31-2015
in a young woman with hx of rheumatoind fever ,there is an early diastolic murmur in left 4th intercostal space near sternum ,better heard in left lateral decubitus position.
what's the murmur?
0 - ArchivalUser - 05-31-2015
any one ,please..
I mixed up all murmurs.
0 - ArchivalUser - 05-31-2015
anybody???
0 - ArchivalUser - 05-31-2015
mitral regurgitation murmur
0 - ArchivalUser - 05-31-2015
Aortic regurge
0 - ArchivalUser - 05-31-2015
mitral regurgitation is heard in apex and AR is heard in left 2nd intercostal space .
comfusing very much....
0 - ArchivalUser - 05-31-2015
MS.
0 - ArchivalUser - 05-31-2015
DIastolic murmurs--->mnemonic "DIe in your ARMS" AR-Aortic Regurgitation MS- mitral stenosis
In rheumatic fever initial heart lesion is a Mitral regurgitation which becomes a Mitral stenosis later (after a few years) so since this woman has a Hx of rheumatic fever..her lesion is a mitral stenosis (diastolic murmur) not Mitral regurgitation ( systolic murmur)
Hope that helps!
0 - ArchivalUser - 05-31-2015
The answer is mitral stenosis .
Systolic murmurs : MR and Tricuspid Reg , aoric stenosis , mitral prolapse , ventricular septal defect
Diastolics : mitral stenosis , aortic reg
Continuos : PDA
The complication of rheum fever is mitral stenosis . I learned the murmurs this way and it helped me a lot .....
Good luck on ur studies and test !
0 - ArchivalUser - 06-01-2015
@cardio,
the site of the murmur is in 4th intercostal space near sternum,
MS best heard at apex .
please explain...