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Auscultation Training by Repetition
Aortic Stenosis Moderate and Regurgitation Mild - Rheumatic Origin
- C403, #104
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play
pause
Listen for 2-3 minutes
Sitting leaning forward
Diaphragm
Listening Tips
Systole:
Aortic ejection click followed by diamond shaped murmur.
Diastole:
High pitch decrescendo murmur.
Repetition Training - More Heart Sounds
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Lesson Text
This is an example of moderate aortic stenosis combined with mild aortic regurgitation in a patient with rheumatic heart disease.
The first heart sound is normal.
The second heart sound is unsplit.
There is an aortic ejection click in systole followed by a diamond-shaped systolic murmur.
There is a high-pitched decrescendo murmur which fills the first two thirds of diastole.
In the anatomy tab you can see a thickened left ventricle and thickened but mobile aortic valve leaflets. There is moderate turbulent flow across the aortic valve in systole and mild regurgitant turbulent flow into the left ventricle in diastole.
The turbulent blood flow causes the systolic and diastolic murmurs.
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soundID
82
maneuver
Sitting leaning forward
Title
Aortic Stenosis Moderate and Regurgitation Mild - Rheumatic Origin
Position
Aortic
realSoundID
5016
caseID
104
S1
Systole
Aortic ejection click followed by diamond shaped murmur
S2
Diastole
High pitch decrescendo murmur
features
lung sounds
False
chestpiece
Diaphragm
c403
CaseID
104
CourseID
28
CourseCaseOrder
4
ID
94