Sandbox:Nuha: Difference between revisions
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!style="width: 300px;background:#4479BA"|{{fontcolor|#FFF| SYSTOLIC MURMUR}} !!style="width: 300px;background:#4479BA"|{{fontcolor|#FFF| DIASTOLIC MURMUR}} !! style="width: 300px;background:#4479BA"|{{fontcolor|#FFF| Continuous Murmur}} | !style="width: 300px;background:#4479BA"|{{fontcolor|#FFF| SYSTOLIC MURMUR}} !!style="width: 300px;background:#4479BA"|{{fontcolor|#FFF| DIASTOLIC MURMUR}} !! style="width: 300px;background:#4479BA"|{{fontcolor|#FFF| Continuous Murmur}} | ||
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| ❑ '''[[MR resident survival guide#Treatment | | ❑ '''[[MR resident survival guide#Treatment]]''' <br> ❑ '''[[NSTEMI resident survival guide#Treatment|NSTEMI / Unstable angina]]''' <br> ❑ '''[[Chronic stable angina treatment|Stable angina]]'''<br> ❑ '''[[Pericarditis resident survival guide#Treatment|Pericarditis]]'''<br> ❑ '''[[Aortic dissection resident survival guide#Treatment|Aortic dissection]]'''<br> ❑ '''[[Aortic stenosis resident survival guide#Treatment|Aortic stenosis]]''' <br>❑ '''[[Prinzmetal's angina#Medical Therapy|Prinzmetal's angina]]''' <br> ❑ '''[[PCI complications: coronary vasospasm#Treatment|PCI-induced coronary vasospasm]]''' <br> ❑ '''[[New guidelines for the management of cocaine chest pain|Cocaine induced coronary vasospasm]]''' | ||
| ❑ '''[[Pulmonary embolism resident survival guide#Treatment|Pulmonary embolism]]'''<br> ❑ '''[[Tension pneumothorax resident survival guide#Treatment|Pneumothorax]]'''<br>❑ '''[[Asthma exacerbation resident survival guide|Asthma exacerbation ]]'''<br> ❑ '''[[Pulmonary hypertension resident survival guide#Treatment|Pulmonary hypertension]]'''<br> ❑ '''[[Pneumonia medical therapy |Pneumonia ]]''' <br> ❑ '''[[Pleurisy medical therapy |Pleuritis]]''' | | ❑ '''[[Pulmonary embolism resident survival guide#Treatment|Pulmonary embolism]]'''<br> ❑ '''[[Tension pneumothorax resident survival guide#Treatment|Pneumothorax]]'''<br>❑ '''[[Asthma exacerbation resident survival guide|Asthma exacerbation ]]'''<br> ❑ '''[[Pulmonary hypertension resident survival guide#Treatment|Pulmonary hypertension]]'''<br> ❑ '''[[Pneumonia medical therapy |Pneumonia ]]''' <br> ❑ '''[[Pleurisy medical therapy |Pleuritis]]''' | ||
| ❑ '''[[Pancreatitis medical therapy |Pancreatitis ]]''' <br> ❑ '''[[Acute cholecystitis resident survival guide#Treatment Approach|Acute cholecystitis]]''' <br> ❑ '''[[Gastroesophageal reflux disease medical therapy|GERD]]''' <br>❑ '''[[Peptic ulcer medical therapy|Peptic ulcer]]''' <br>❑ '''[[Nutcracker esophagus medical therapy|Esophageal spasm]]'''<br>❑ '''[[Mallory-Weiss syndrome medical therapy|Mallory-Weiss syndrome]]''' <br> | | ❑ '''[[Pancreatitis medical therapy |Pancreatitis ]]''' <br> ❑ '''[[Acute cholecystitis resident survival guide#Treatment Approach|Acute cholecystitis]]''' <br> ❑ '''[[Gastroesophageal reflux disease medical therapy|GERD]]''' <br>❑ '''[[Peptic ulcer medical therapy|Peptic ulcer]]''' <br>❑ '''[[Nutcracker esophagus medical therapy|Esophageal spasm]]'''<br>❑ '''[[Mallory-Weiss syndrome medical therapy|Mallory-Weiss syndrome]]''' <br> | ||
Revision as of 18:08, 16 August 2020
- Holosystolic (pansystolic) murmurs:
- chronic MR.
- chronic TR.
- VSD
- PDA with pulmonary hypertension
- Midsystolic (systolic ejection) murmurs
- Innocent murmur (still's murmur)
- AS
- PS
- HOCM
- Functional:
- ASD
- VSD
- Straight back syndrome
- Aortic root dilation
- Pulmonary artery dilation
- pulmonary hypertension
- Hyper-kinetic status:
- pregnancy
- Anemia
- hyperthyroidism
- exercise
- A-V fistula
- Early systolic murmurs
- Acute MR
- Acute TR
- Small VSD
- Mid to late systolic murmurs
- Holosystolic (pansystolic) murmurs:
Maximum intensity over apex Radiation to axilla or base A2 not heard over apex Decreased intensity with amyl nitrate
Maximum intensity over left sternal border Radiation to epigastrium and right sternal border Increased intensity during inspiration Prominent c-v wave with sharp y descent in jugular venous pulse
Maximum intensity over lower left third and fourth interspace Widespread radiation, palpable thrill Decreased intensity with amyl nitrate No change in intensity during inspiration Wide splitting of S2
Mitral regurgitation Tricuspid regurgitation Favors ventricular septal defect; often difficult to differentiate from
mitral regurgitant murmur
Hyperdynamic left ventricular impulse
Wide splitting of S2 Sustained left ventricular impulse
Single S2 or narrow splitting of S2 Prominent left parasternal diastolic impulse
Normal brief left parasternal systolic impulse
Normal P2, Rarely paradoxical S2 Primary
Sustained systolic left parasternal impulse Narrow splitting of S2 with marked increase in intensity of P2 Secondary to pulmonary hypertension
Primary mitral regurgitation Secondary mitral regurgitation
Wide splitting of S2
Single S2 or narrow splitting of S2
Normal brief left parasternal systolic impulse
Normal P2, Rarely paradoxical S2
| SYSTOLIC MURMUR | DIASTOLIC MURMUR | Continuous Murmur | |
|---|---|---|---|
| ❑ MR resident survival guide#Treatment ❑ NSTEMI / Unstable angina ❑ Stable angina ❑ Pericarditis ❑ Aortic dissection ❑ Aortic stenosis ❑ Prinzmetal's angina ❑ PCI-induced coronary vasospasm ❑ Cocaine induced coronary vasospasm |
❑ Pulmonary embolism ❑ Pneumothorax ❑ Asthma exacerbation ❑ Pulmonary hypertension ❑ Pneumonia ❑ Pleuritis |
❑ Pancreatitis ❑ Acute cholecystitis ❑ GERD ❑ Peptic ulcer ❑ Esophageal spasm ❑ Mallory-Weiss syndrome |
❑ Musculoskeletal pain: |