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Mitral regurgitation:
Common
Holo-systolic murmur
Radiation to axilla
Patients may develop heart failure,
dyspnea
Special manuevers:
Inspiration
Right sided murmurs become
louder
Expiration
Left sided murmurs become
louder
Left Lateral Position
Mitral murmurs
Hand grip, squatting à Increased PVR
Pediatric murmurs: AS à SOFTER murmur
Right sided murmurs are more common MR à LOUDER murmur
in kids…eg. Tricuspid murmurs
Holosystolic murmur in a child
Likely a ventricular septal defect
(Not mitral regurg)
Mitral stenosis:
Used to be common….less common now
Leading cause = rheumatic fever
Less common now
Diastolic murmur
May be opening snap
Loud S1