15 results
Cardiac Auscultation Maneuvers for Murmurs
Maneuvers result in INCREASED murmur:
 • Inspiration - Right-sided
 • Valsalva -
Maneuvers for Murmurs ... in INCREASED murmur ... result in INCREASED murmur ... #Murmurs #Cardiac ... #cardiology #physicalexam
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... on systolic murmurs ... #Murmurs #Maneuvers ... #Heart #Cardiology ... Diagnosis
Maneuvers to Identify Systolic Murmurs 
Effect of Squatting and Valsalva:
 - Mitral Valve Prolapse 
 -
Maneuvers to Identify ... Systolic Murmurs ... #Systolic #Murmurs ... Identification #PhysicalExam ... #Diagnosis #Cardiology
Cardiac Maneuvers and Effects on Murmurs

Valsalva Standing - Decr BIood Return to LV
Laying Down, Squatting, Straight
Cardiac Maneuvers ... and Effects on Murmurs ... #Maneuvers #Effects ... #Murmurs #Cardiology ... #PhysicalExam
Hypertrophic Obstructive Cardiomyopathy: Heart Murmur
 • Occurs during systole 
 • Crescendo-decrescendo murmur
 • Heard best
Murmur • Occurs ... Crescendo-decrescendo murmur ... • Heard best ... #Murmur #Cardiac ... #Cardiology #Diagnosis
Pulmonary Flow Murmur

crescendo-decrescendo, early to mid-systolic 

Increases Intensity: Laying supine, hyperkinetic 
circulatory states (e.g., anemia, 
fever,
Pulmonary Flow Murmur ... up or standing, maneuvers ... Pulmonary #Flow #Murmur ... #Cardiac #Cardiology ... #Diagnosis
Cardiac Auscultation - Murmur Intensity Grading
Grade 1	Audible with a good stethoscope in a quiet room
Grade 2	Quiet
- Murmur Intensity ... Loud, obvious murmur ... #Auscultation #Murmur ... Intensity #Grading #diagnosis ... #cardiology #physicalexam
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Cardiomyopathy - Diagnosis ... Physical Exam: ↑JVP ... +S4, MR and TR Murmurs ... Endomyocardial: Carcinoid Heart ... #differential #cardiology
Vitums Sign - Hepatic Pressure Maneuver to Identify Tricuspid Regurgitation on Physical Exam

Firm pressure with the
Hepatic Pressure Maneuver ... regurgitation murmur ... Regurgitation #PhysicalExam ... #diagnosis #cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
, severe right heart ... Absent y descent - Cardiac ... Jugular #Waveforms #JVP ... #PhysicalExam # ... cardiology