Heart Murmurs by https://padlet.com/spg3718/c1xw4mcsi6kgesk7 Made with whimsy en-us 2021-08-24 14:42:31 UTC 2024-12-22 08:01:22 UTC hello@padlet.com Features of Murmurs hanyairfan17 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693797213
Site: Where is the murmur loudest?
Character: soft? Blowing? Crescendo? Decrescendo?
Radiation: Carotids? Axilla? 
Intensity: Grade of murmur?
Pitch: High? Low and grumbling? Indicates velocity. 
Timing: Systolic? Diastolic?
]]> 2021-08-24 15:00:13 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693797213 Case 1 - Pin the murmur hanyairfan17 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693806688 Where would you hear this murmur radiate to? Comment below the pin.]]> 2021-08-24 15:04:52 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693806688 Case 4 hanyairfan17 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693807129 Where would you hear this murmur radiate to? 
Which number would you pin, comment below]]> 2021-08-24 15:05:04 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693807129 The Activist Learner https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693812161 Activist – Activists are people who learn by doing. They need to get into the action and experience what they're trying to learn and enjoy brainstorms.]]> 2021-08-24 15:07:33 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693812161 The Pragmatist Learner https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693815143 Pragmatists want to know how to put what they're learning into practice in the real world. They are practical and focused on reaching a goal.]]> 2021-08-24 15:09:01 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693815143 Case 2 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693821453 A 68-year-old male with a history of syphilis presents with generalized fatigue. He denies dyspnea, lower extremity edema or orthopnea. His blood pressure is 170/90 mm Hg and heart rate 80 beats per minute.]]> 2021-08-24 15:11:52 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693821453 Listen to this audio of a murmur spg3718 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693821592 2021-08-24 15:11:56 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693821592 Case 2- Listen jamesbell17 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693855470 What type of murmur is this?]]> 2021-08-24 15:26:59 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693855470 Case 3 - Vignette https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693856235 A 59 year old woman comes in with dyspnoea when walking to the shops, chest pain and palpitations with a history of a bad throat infection as a child, although she cannot remember any details. On auscultation, you hear the murmur above. 

Is this a diastolic or a systolic murmur?]]> 2021-08-24 15:27:20 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693856235 Case 4 spg3718 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693868996 An asymptomatic 45-year-old male comes to the clinic for his routine physical examination. Vital checkups are done and his blood pressure is 110/85 mm Hg. A mid-systolic murmur is heard at the cardiac apex, radiating laterally, occurring after a mid-systolic click. Which murmur is described?

Please comment below]]> 2021-08-24 15:32:56 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693868996 Case 2- Question jamesbell17 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693878991 A low intensity, high pitched early diastolic murmur is heard at the right upper sternal border which radiates to the apex. What valve pathology is likely to be causative?]]> 2021-08-24 15:37:27 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693878991 Case 1 - Vignette hanyairfan17 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693889829 63yo woman admitted for chest pain that started about 2 years ago; became progressively worse causing pain and light-headedness with exercise. Pain described as pressure in mid-chest, always with exertion, rate 7/10, attenuated by rest. Denies palpitations or syncopal episodes. 
PMH: CAD, Hypertension, Hyperlipidaemia, T2DM, Depression with anxiety, BMI 35
Sx: 40 pack years, 2 beers/night, no next of kin
Examination: 3/6 systolic “crescendo-decrescendo” High-pitched ejection systolic murmur present in right 2nd IC. 
Slow rising pulse
Narrow pulse pressure
Bilateral crackles in lung bases 
]]> 2021-08-24 15:42:29 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693889829 Case 3 - Accentuation https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693891816 Which answer denotes where this murmur be most accentuated?

A. 1b. Carotids
B. 1a. Aortic area when sat forwards on expiration
C. 4b. Axilla when rolled onto left on expiration
D. 4a. Mitral area when rolled onto left on expiration]]> 2021-08-24 15:43:23 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693891816 Case 2- Bonus Question jamesbell17 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693893729 Another patient presents with the same murmur 2 days later. This time, a rumbling diastolic murmur is also heard at the apex. What is the name of this murmur?]]> 2021-08-24 15:44:23 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693893729 Case 1 - Listen hanyairfan17 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693895983 What murmur does she have?]]> 2021-08-24 15:45:30 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693895983 Case 3 - Aetiology https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693899374 What is likely to have caused this murmur? ]]> 2021-08-24 15:47:00 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693899374 Case 2- Bonus Answer jamesbell17 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693904232 Austin Flint Murmur- caused by the aortic regurgitation jet abutting the left ventricular endocardium in severe aortic regurgitation.]]> 2021-08-24 15:49:29 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693904232 Case 2- Answer jamesbell17 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693911305 Aortic regurgitation]]> 2021-08-24 15:53:00 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693911305 Answers hanyairfan17 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693917927 2021-08-24 15:56:09 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693917927 Case 1 hanyairfan17 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693919499 Q1. Aortic Stenosis
Q2. 1b (Radiates to carotids and apex)]]> 2021-08-24 15:56:55 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693919499 Case 3 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693921521 Q1. A diastolic murmur (specifically mid diastolic)

Q2. Mitral Stenosis 

Q3. Accentuated in (4a.) the Mitral area when rolled onto left on expiration.

Q4. Mitral stenosis is related to Rheumatic Heart Disease as rheumatic fever causes thickening of the valve leaflets.]]> 2021-08-24 15:57:40 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693921521 Summary of Heart Murmurs hanyairfan17 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693927724 2021-08-24 16:00:40 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693927724 Case 4 spg3718 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693929872 Q1. Mitral regurgitation
Q2. 4b (axilla)
Q3a.  Typical causes are infective endocarditis, ischaemic papillary muscle dysfunction
Q3b. Pansystolic murmur heard loudest over mitral area

]]> 2021-08-24 16:01:46 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693929872 Learning Objectives jamesbell17 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693934072 - To differentiate systolic and diastolic murmurs
- To recognise and identify the four major left-sided heart murmurs by sound and anatomical location
- To be able to relate characteristic clinical signs to underlying murmurs.]]> 2021-08-24 16:03:44 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693934072 Prior Knowledge required https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693943878 - Basic cardiac anatomy
- Understanding of the cardiac cycle
- Recognition of normal heart sounds]]> 2021-08-24 16:08:39 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693943878 List 2 causes of this spg3718 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693951182 2021-08-24 16:12:24 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693951182 Describe the character of the murmur spg3718 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693958484 2021-08-24 16:16:19 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693958484 Case 3 - Identifying the Murmur https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693960834 In addition to the part of the cardiac cycle this murmur is in(Q1), this murmur can be described as a low pitched, rumbling murmur with an opening click. 

Which murmur is described?]]> 2021-08-24 16:17:37 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693960834 Aortic regurgitation jamesbell17 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693968048 2021-08-24 16:21:29 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693968048 Aortic Stenosis hanyairfan17 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693968557 https://www.mayoclinic.org/diseases-conditions/aortic-stenosis/symptoms-causes/syc-20353139]]> 2021-08-24 16:21:48 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693968557 More on murmurs https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693969223 2021-08-24 16:22:10 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693969223 Mitral Stenosis hanyairfan17 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693970823 https://www.mayoclinic.org/diseases-conditions/mitral-valve-stenosis/symptoms-causes/syc-20353159]]> 2021-08-24 16:22:59 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693970823 Mitral Regurgitation hanyairfan17 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693972198 https://www.mayoclinic.org/diseases-conditions/mitral-valve-regurgitation/symptoms-causes/syc-20350178]]> 2021-08-24 16:23:43 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693972198 Lesson Plan spg3718 https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693973890 2021-08-24 16:24:36 UTC https://padlet.com/spg3718/c1xw4mcsi6kgesk7/wish/1693973890