Auscultation Training by Repetition

Aortic Stenosis Moderate and Regurgitation Mild - Rheumatic Origin

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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

Table of Contents

1	Patent Ductus Arteriosus	109
2	Mitral Regurgitation and Aortic Regurgitation	105
3	Mitral Stenosis Severe and Regurgitation Mild - Rheumatic Origin	103
4	Aortic Stenosis Moderate and Regurgitation Mild - Rheumatic Origin	104
5	Tetralogy of Fallot	112
6	Mitral Valve Prolapse with Mid Systolic Click - Standing	131

               
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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