Auscultation Training by Repetition

Aortic Stenosis Moderate and Regurgitation Mild - Rheumatic Origin - C403, #104

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waveform of heart or lung sound
Listen for 2-3 minutes
maneuver
Sitting leaning forward
torso
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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c403
CaseID104
CourseID28
CourseCaseOrder4
ID94