Name pulse Apex beat Thrill/heave murmur Additional severity causes

murmur
AS Slow Heaving and Thrill Crescendo- nil Soft S2,delayed Bicuspid, senile
rising, sustained Present, decrescendo ESM and S4 ,streptococcal
low aortic area ESM at AA
volume,
narrow
pp
AR Collapsing Hyperkinetic Thrill EDM et left Aortic Silent EDM, Biscuspid,perim
pulse, displaced Present lower flow ,mid- collapsing VSD,endocarditi
wide pp Aortic area sternal diastolic pulse,S3,pulmonary Dissection, traum
edge, murmur edema RF,drugs,Marfan
setting (Austin HTN,syphilis,AS,
forward, flip Vasculitis
expiration
MS irregular Tapping Lt OS followed Loud s1 OS Near to A2,long Rheumatic,
parasternal by MDM et MDM Senile
heave apex et left endocarditis
lateral
position
MR AF,dec. Displaced, Thrill at PSM et apex Wide split LVF,AF ENDOCARDITIS
vol. Vol.loaded apex loudest n S2, RUPTURE,
expiration S3,ASD MYO.DEGEN
RF,CTD,FIBR.
DIALATN,CALC,
INFILTRATION
TR N N Thrill et left PSM et Reverse Loud P2,pulsatile Ebstein
sternal tricuspid split S2,S3 Liver,ascites Infec.endo
edge area, Loud p2 Pul.edema Functiona,
inspiration RF,carcinoid
PS N N Left ESM loudest S2 widely Silent P2,RVF TOF,NOONAN,
parasternal Et pul.area split FUNCTIONAL
heave,thrill
et pul.area
PROS N N N Closing click Abn findings:
aortic instead of AR
A2,opening Dec.intensity of CC
click follw.
By ESM,
Pros N N N CC instead Abn findings:
MVR of S1 MR
OS follwd. Dec. intensity of
By diastolic Closing click
rumble