Line 85: |
Line 85: |
| |+ Cardiac Murmur Descriptions and Maneuvers | | |+ Cardiac Murmur Descriptions and Maneuvers |
| |- | | |- |
− | ! Murmur !! Description !! Location !! Flow Problem !! Response to Preload !! Response to Afterload | + | ! Murmur !! Description !! Location !! Flow Problem !! Relation to Preload !! Relation to Afterload |
| |- | | |- |
| | AR || Diastolic || Mitral || Reverse || 0 || +1 | | | AR || Diastolic || Mitral || Reverse || 0 || +1 |
| |- | | |- |
− | | AS || Systolic || Aortic || Forward || +1 || 0 | + | | AS || Systolic || Aortic || Forward || +1 || -1 |
| |- | | |- |
| | MR || Systolic || Aortic || Reverse || 0 || +1 | | | MR || Systolic || Aortic || Reverse || 0 || +1 |
Line 95: |
Line 95: |
| | MS || Diastolic, Blowing || Mitral || Forward || 0 || 0 | | | MS || Diastolic, Blowing || Mitral || Forward || 0 || 0 |
| |- | | |- |
− | | MP || Systolic, Click || Aortic || Reverse || Increased || Decreased | + | | MP || Systolic, Click || Aortic || Reverse || -1 || -1 |
| |- | | |- |
− | | TR || Systolic || Tricuspid || Reverse || None || Decreased | + | | TR || Systolic || Tricuspid || Reverse || +1 || 0 |
− | |-
| |
− | | PDA || Continuous, Machine-like || ? || ? || ?
| |
| |- | | |- |
| | HOCM || Systolic || Tricuspid || Forward || -1 || -1 | | | HOCM || Systolic || Tricuspid || Forward || -1 || -1 |
| |} | | |} |
− | * Maneuvers increase afterload (hand grip, standing), preload (passive leg raise, lying down), or both (vagal). | + | * Maneuvers increase afterload (hand grip, standing, valsalva), preload (passive leg raise, squatting, lying down), or both (vagal). |
| | | |
| * Endocarditis: Janeway lesions, Osler nodes, Splinter hemorrhages | | * Endocarditis: Janeway lesions, Osler nodes, Splinter hemorrhages |