102 results
Cardiac Auscultation Maneuvers for Murmurs
Maneuvers result in INCREASED murmur:
 • Inspiration - Right-sided
 • Valsalva -
Maneuvers for Murmurs ... result in INCREASED murmur ... Right-sided • Valsalva ... result in INCREASED murmur ... Auscultation #Maneuvers #Murmurs
Maneuvers to Identify Systolic Murmurs 
Effect of Squatting and Valsalva:
 - Mitral Valve Prolapse 
 -
Identify Systolic Murmurs ... Squatting and Valsalva ... Maneuvers #Systolic #Murmurs
Cardiac Maneuvers and Effects on Murmurs

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

crescendo-decrescendo, early to mid-systolic 

Increases Intensity: Laying supine, hyperkinetic 
circulatory states (e.g., anemia, 
fever,
Pulmonary Flow Murmur ... preload (e.g., Valsalva ... Pulmonary #Flow #Murmur
Ruptured Sinus of Valsalva (RSOV) on Echocardiogram

25 yr old male who had H/O small VSD in
Ruptured Sinus of Valsalva ... loud continuous murmur ... Ruptured #Sinus #Valsalva
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
• “Mill wheel” murmur ... Volume loading and Valsalva
Characteristics that are more likely to be associated with an innocent murmur include a systolic (rather
with an innocent murmur ... than diastolic) murmur ... position); and murmurs ... is a Still murmur ... #pediatrics #murmurs
Causes of Diastolic Murmurs - Differential Diagnosis Algorithm
Early Diastolic:
 • Aortic Regurgitation
 • Pulmonary Regurgitation (Graham-Steell
Causes of Diastolic Murmurs ... (Graham-Steell Murmur ... (Austin Flint Murmur ... #Diastolic #Murmurs
Murmurs Needing Echocardiography Evaluation #Management #EM #IM #Cardiology #Murmur #Benign #Characteristics #Echocardiogram #ALiEM
Murmurs Needing ... IM #Cardiology #Murmur