Auscultation Training by Repetition

Patent Ductus Arteriosus - C403, #109

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• pause

Listen for 2-3 minutes

Supine

Diaphragm

Listening Tips

Systole: Crescendo-decrescendo murmur, peaking late systole.
S2: Obscured.
Diastole: Crescendo-decrescendo murmur continuing from systole.

Repetition Training - More Heart Sounds

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Lesson Text

This is an example of patent ductus arteriosus heard at the pulmonic position. Before birth, the two major arteries—the aorta and the pulmonary artery—are connected by a blood vessel called the ductus arteriosus. Shortly after birth the patent ductus closes and turns into a ligament. However, in certain abnormal circumstances the patent ductus remains open allowing blood to flow from the aorta into the pulmonary artery causing a strain on the right ventricle. The first heart sound is normal. The second heart sound is obscured by a continuous crescendo-decrescendo murmur which runs from the beginning of systole to the end of diastole peaking at the second heart sound. In the anatomy tab you can see an enlarged left atrium and left ventricle and turbulent blood flow from the aorta to the pulmonary artery through the patent ductus.

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soundID	87
maneuver	Supine
Title	Patent Ductus Arteriosus
Position	Pulmonic
realSoundID	5021
caseID	109
S1
Systole	Crescendo-decrescendo murmur, peaking late systole
S2	Obscured
Diastole	Crescendo-decrescendo murmur continuing from systole
features
lung sounds	False
chestpiece	Diaphragm

c403

CaseID	109
CourseID	29
CourseCaseOrder	2
ID	99