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1)What is Cecil Cole murmur?

In Aortic regurgitation early diastolic murmur radiating to apex and axilla 2) Bell is used for what type of murmurs --name two murmurs Bell is used for low pitched murmurs mid diastolic murmur of mitral stenosis and tricuspid stenosis large vsd and asd 3) mechanism for hemic murmur R value increases more than 2000 R=density of fluid *diameter*velocity/viscocity The viscocity decreases in anaemia 4) locate erbs space 3rd intercostal space in the left parasternal area 5) define apex beat Lower most ,outermost part of the precardium where a definite thrust can be felt 7) what is valsalva maneuver After a deep inspiration trying to expire with mouth and nostrils closed. 8) what is muller maneuver After a deep expiration trying to inspire with mouth and nostrils closed. 9) name a blowing murmur Mitral regurgitation ,tricuspid regurgitation 10) describe austin flint murmur Low pitched rough rumbling mid diastolic murmur best heard in the apex 11) what is its mechanism In severe aortic regurgitation the back flow of blood from the aorta prevents the full opening of anterior mitral leaflet which will result mid diastolic murmur 12) describe the qualities of mitral stenosis murmur Low pitched rough rumblimg mid diastolic murmur best heard at the apex withbell associated with opening snap and presystolic accentuation

13) what is carey coombs murmur Mid diastolic murmur in rheumatic fever due to mitral valvulitis 14) causes of late systolic murmur Mitral valve prolapse, hypertrohic cardiomyopathy , pulmonary stenosis , coarctation of aorta ,papillary muscle dysfunction 15) what is precordial rub .name its components Scratching , grating or creaking sounds that are triphasic , evanescent, sounds that may vary with time and posture beast heard in 3rd and 4th intercostals spaces along the left sterna border that are due to friction between the pericardial surfaces . these have three component one systolic and two diastolic.

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