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Cardio Auscultation Scheme

Cardio Auscultation Scheme

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Published by Fatma Helal

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Published by: Fatma Helal on Aug 13, 2012
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08/13/2012

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Islam Yousuf Gomaa 2010
Cardio auscultation scheme
 
S1 : Loud is known by experience or by comparison
 
S2: Listen to aortic and pulmonary areas by comparisonIn pulmonary +++ 2
nd
sound will be more louder on pulmonary area than Aortic areaIn systemic +++ 2
nd
sound loud all over
 
S3: on Apex in case of MI (mitral regurge)
as if splitted from the S2
 
 
S4: on apex Systemic HypertensionASOpening snap
 
Additional SoundsEjection clicks
STEP 1:
Auscultate A1You should look for
vooooo
- systolic murmur-If present A.S
N.B:
Organic A.S usually propagates to the Apex so we might think its M.I
 
If murmur intensity towards Apex THEN
It’s A.S
 
 
If murmur intensity towards the Apex AND starts to be loud propagating to axilla and characterchanges into soft blowing and pan systolic THEN its M.IDD. of Functional Aortic Stenosis1.
 
Systolic hypertension2.
 
Anemia
Heart Sounds S
1
and S
2
as if splitted from S1
 
Murmurs
 
OrganicHarsh
 –
loud - ThrillFunctional (d.t AI)Not harsh
 –
not loud
 –
no thrill

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