PHYSIO MMURMMURRS

is am is min is am memoryaid
I 1
ejection
inp Diastasis Eagle ejection

Aortic zoo

Mm M Mr
b
Systole Systole
É M
Fine co i M ii
I.is
IIe I I ite Ies I oooo
zoo

n É n
oooo

i i
Ib Bub
Ib É too
Fine so
É me

Systole pig

MURMUR PHONOCARDIOGRAM

81 Split
d
valveclosing
signifantly
before the
Pit
canbephysiologic
or
mneme
isexaggeratedphysiologically
thiswhen
expiration
i nspiration
duringinspiration layingsupine that
wide delayedemptyingortheright

5
expirationinspiration
exaggeratednorma ventricle eg rBBBor
splitting pulmonic stenosis it

Fixed novariationinsplit delayedclosingorpulmonary

valve partonshunt
expirationinspiration on mpen Mp
splitting duringexpirationinspiration createdin Asp tittt
Paradoxical splittingduringexpiration closingofpulmonaryvalve
before expirationinspiration

Butnotinspiration theaorticvalve delayedventricular at m

splitting mm
heard beginingormidalethirao
diastole
canbephysiologic in
childrenadolescents youngadults
53 M Mm
h rorthfigqntraicfs.am
altoscilitationorbloodback mm
over inaauitscgensys.gg heartfailure

heardinptswho need
atrialcontractiontocompensate Olderpatients
gy for aventricularwallcompliance
resistopengtovenmanar w ventricularHypertrophy
Mm M TMT
mostcommonheartvalvedisease

Aortic ouamurmur
systole
autonomicerectduring usuallyelderlypts to
duetoaging calcification
ofvalve
NNNAhNM
Mh
Stenosis Rheumaticfever learn concentrichypertrophy
myocardialischemia

resurge aventricular
aortic
bloodfictitidiitaratrom diastolicpressurewhich
Aortic thenignpressure aortaintothe
nextventricle
compresses
muscle
theinnerlayerorthe
giggarincoronary Mn mummmmmunammut
Regurgitation aorticdiastolicpressure
myocardialischemia

back'Eatatrointo'the
stfu
Ming duringsystole
high lowing
mild mitralregurgitation
associatedw mitralvalve
prolapse mummmmmun immunumanm

Regurgitation
apicmairmansystolic
pint valveprolapseheardasmid
mitral
systolicclick
bestheardatapexor
mitralregurg pulmonaryedema

bloodhasaimicuitypassing
fromtheleftatriumtotheleft virtuallyonlycauseof
Mitra ventricle
usuallyweakmurmur
mostlybelowthefrequency
mitralstenosis Mm mhm immmmmmmunffy

Stenosis thathumannearing
any mitralstenosis pulmonaryedema
aribiniatestages
 Acute
INFLECTIVE LENNDOCCAARRDDITIS
rapidonset
days
mostcommon 2 Mostcommoncauseofdeath
is.io mostcommoncause
toweeks

slowprogression BUG CLINICAL

weekstomonths
Dt
ETIOLOGY
PRESENTATION T TEST TREATMENT
ptsthatrecently subacute ofsubacuteI.E Blood
n cultures or
aHemolytic ptswith
jiffy
Streptococci optochinresistant heart
underlying Infective nativevalves
penicillin
aueray ceftriaxone
that
diseasepts Endocarditis valve
mainlymitral
Viridans Dextranbiofilm
e cen
aninvasive d
5Mutans p new
8viridans
reservoirhuman
patientswith
heartmurmur may n
g underlyingcolorectal weightloss Gettamicin
women cancer my
mm
5gallolyticus comeback wismer
ganaytion
yousnoulasween
immunocompromised
pts
forgggiignas for colorectal
cancer WCOLORECTAL
BovisinBlood CANCER
cancerincolon

Grant
catalase b hygienesteriletechniques

sS
Hospitalization
LANCEFIELD indwelling
catheters ute Infective Blackcolonies inhospitaleducationfor
ENT
Adhesionplasmid
pathogenicityislands
gastrointestinal
orgenitourinary d
pm names MildFever ampicillin gentamicin
cytolysin forpenicillinresitant
new orworsening
Efaecalis Resuergyigialtyman heartmurmur vancomycin Gentamicin

em Transmission weightloss resistant

Endogenous fatigue jgpygmngg.nu
Linezoid

the valvesartected mannitol

saltagar fatal intreated
weeks if not
CATALASE inluaubyte coagulase
I'm.to
piddgiefiff.im
d tricuspid
musthave
airferentblood native war pennies raging
Staphylococcus termen samplesfrom valve a
waricinin
aureus Reggggitispouman invasiveprocedures
underlying disease
Pigtfetic oiacinintrirampicint aentamicin

Respiratorydroplets Mrs
endogenous native
nm valve
vancomycin

vancomycin
Grant or.IE common coagulase Piatti rifampicin gentamicin

CATALASE pts w peripheral SubacuteInfective forptswcause

prosthetic
venous
catheters

Staphylococcus
didferment
ÉÉÉ'm riskFactors
invasiveprocedures
doenginnito
underlying disease
epidermis ReservoirHuman
Transmission
respiratorydroplets
endogenous
mm

Gram Neg
Bacilli

It ofaortic ANNTIBACTERRIALS
GeneralPathology regurgitation Fever OELKWALKINABBITORS ANTIFUNGALS
ingenera I.e nomoregurg.sn rotnspots
osiernoae.BA AMMss mom.pteraMMss
canleadtovalvular earlydiastolic murmur amphotericin
disease alt
bacteremia murmur janeway
lesions
ftp.gnptttiignmoa.mmd.ftg.geIgaminnast monbinastoergosteraince
membranes rormspores
seedingofvalves Austin int anemia waricinin
naianaaterminalorpenta
repanesiaemain
inflammations murmur Ee instigating
innibitsmansomicolase
negisgeanemorrnage oxacinin
injury platelets Boundingpulse stiffs'tfitttistifis
fibrinaccumulate Traubesign giggynne capsorungin
vegetarians micarungin
monosactericiaalbinas Daptomycin
aniaularungin
valveanected complications popinnibitingtranspenaasemoniaggig.ge
crosslines p eptidoglycan agyeai monirreversibly raise
inhibits
immunecomplexglomerulonephritis
by I e mitral mycoticaneurysm
chains
ProtennsummeasonBOORS stucanagggggendearn

septicemboli abscess aqgm.sn 50s

aneroid
fluconazole
che streptomycin
neomycin
I
moninnibitsianosterointa
anemiaofchronicdisease a a
aemernglase
impairs
rungaratpase
simian
I