PA Boards 119: Systolic Murmurs with Audio Clips
Medgeeks with Andrew Reid
Medgeeks
4.8 • 997 Ratings
🗓️ 18 February 2017
⏱️ 8 minutes
🧾️ Download transcript
Summary
Today we'll be covering the systolic murmurs - high yield facts along with audio clips so you can commit these to memory :) The murmurs discussed include: aortic stenosis, pulmonic stenosis, mitral regurgitation, mitral valve prolapse, and tricuspid regurgitation.
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Transcript
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| 0:00.0 | What is going on everybody today is February 17th? It's a Friday and we're going to be answering another Q&A. This is going to be the last video here for the week and we're going to be discussing systolic murmurs. Now this question comes from Sierra and she asks or |
| 0:15.8 | says I think it would be very helpful to have a review of heart murmur's with |
| 0:20.3 | audio clips. So we're going to be answering Sierra's request today. We're going to be talking |
| 0:25.1 | systolic murmurs. And as always if you have any questions, if you want to have anything answered, |
| 0:30.9 | you need any advice, anything whatsoever, I'm more than happy to chat with you. anything |
| 0:33.0 | I'm more than happy to chat with you. |
| 0:35.0 | You can send me an email over at Andrew at physician-assistemboards.com |
| 0:38.0 | or you can go ahead and DM me on PA boards Instagram |
| 0:42.0 | or you can DM me on my personal Instagram. The personal |
| 0:45.7 | Instagram is A and D underscore R E ID and the PA boards Instagram is PA B O-A-R-D-S. |
| 0:53.6 | So we're going to get into Sierra's question. |
| 0:55.3 | We're going to be discussing systolic murmurs. |
| 0:58.1 | Now, we're going to be starting off with aortic stenosis. |
| 1:02.4 | And the ideology here is going to be calcification of the aorta. This is really |
| 1:06.6 | going to be the main etiology, usually going to be seen in the elderly. Other |
| 1:10.4 | ideologies are congenital bicuspid and unicuspid valves and rheumatic disease. |
| 1:16.0 | Now the most common symptom here is going to include dyspnea, angina, and dizziness. We can also have patients presenting with syncopie. This is going to be a more severe case of aortic stenosis. |
| 1:29.0 | Now the murmur here, right? The murmur is going to be a systolic crescendo, decrescendo murmur. |
| 1:37.2 | We're going to be hearing this best at the second right intercostal space and it's going to radiate to the neck. So her best at the second right |
| 1:46.8 | intercostal space and so I'm going to put a visual here. If you're listening on the |
| 1:51.8 | podcast I'm sorry you're not going to hear you're not going to see the visual but I'm going to be putting a visual here on the YouTube video so we're going to hear it best at the second right intercostal space it's going to radiate to the neck. |
| 2:04.4 | Now patients who present with any type of symptoms require surgical correction because |
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