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Auscultation Training by Repetition

Mitral Stenosis Severe and Regurgitation Mild - Rheumatic Origin - C403, #103

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waveform of heart or lung sound
  • play
  • pause
Listen for 2-3 minutes
maneuver
Supine left side down
torso
Diaphragm

Listening Tips

S1: Slightly louder.
Systole: Rectangular, mid pitch in first half of systole.
Diastole: Opening snap then low pitch diamond crescendo murmur.
Repetition Training - More Heart Sounds

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Lesson Text

This is an example of severe mitral stenosis combined with mild mitral regurgitation in a patient with rheumatic heart disease.

The first heart sound is slightly louder than normal.

The second heart sound is unsplit.

There is an opening snap fifty milliseconds after the second heart sound.

There is a low frequency murmur filling all of diastole. The first two-thirds of the murmur is diamond shaped and the last third is a crescendo.

There is a rectangular medium frequency murmur which fills the first half of systole.

In the anatomy tab you can see an enlarged left atrium and thickened mitral valve leaflets which barely moved. The turbulent blood flow represents the systolic and diastolic murmurs.

Comments on this beta version will be welcomed. Send to: comments@easyauscultation.com
soundID81
maneuverSupine left side down
TitleMitral Stenosis Severe and Regurgitation Mild - Rheumatic Origin
PositionMitral
realSoundID 
caseID103
S1Slightly louder
SystoleRectangular, mid pitch in first half of systole
S2 
DiastoleOpening snap then low pitch diamond crescendo murmur
features 
lung soundsFalse
chestpieceDiaphragm
c403
CaseID103
CourseID28
CourseCaseOrder3
ID93



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This website is only for medical professional education. Contact a healthcare provider for medical care. Copyright 2011-2020 © MedEdu LLC. All Rights Reserved. About | Privacy Policy | Email

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