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Old 02-15-2011
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Stethoscope Daistolic Murmur Radiating to the Axilla!

Is there any diastolic murmur radiating to axilla?
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Old 02-15-2011
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yeah..diastolic murmur radiating to axilla is due to mitral regurgitation/incompetence
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Old 02-15-2011
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Stop Your are wrong

Quote:
Originally Posted by pnreddy View Post
yeah..diastolic murmur radiating to axilla is due to mitral regurgitation/incompetence
Mitral regurgitation murmur is NOT DIASTOLIC it's HOLOSYSTOLIC
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Old 02-15-2011
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Don't know about diastolic murmur but mitral regurge is holosystolic, heard best at the apex and radiates to the axilla.
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Old 02-15-2011
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How about mitral stenosis?

(also, can't you have a late diastolic MR with AV block?)
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Quote:
Originally Posted by Mondoshawan View Post
How about mitral stenosis?

(also, can't you have a late diastolic MR with AV block?)
hmmmm ok I am really bad at CVS but then I guess it won't radiate to the axilla.
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Quote:
Originally Posted by mary View Post
Mitral regurgitation murmur is NOT DIASTOLIC it's HOLOSYSTOLIC
but what is the answer..
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Old 02-15-2011
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Arrow Hear murmur cheat sheet

VSD - Harsh holosystolic murmur heard over tricuspid area (left lower sternal border).

ASD - Mid-systolic ejection murmur heard in pulmonic area; may be accompanied by wide fixed split S2; S1 may be a bit louder.

PDA - Continuous machine-like murmur.

COA - High-pitched diastolic murmur.

AR - Diastolic murmur in upper left sternal border (precordium); early diastolic decrescendo murmur radiating to the apex; early high-pitched blowing diastolic murmur; diastolic decrescendo murmur at the right upper sternal border; wide pulse pressure; head bobbing with each heart beat; bounding pulse; often accompanied by diastolic "blowing" murmur (i.e., an aortic regurgitation murmur).

MR - Diastolic decrescendo murmur radiating to the axilla; Systolic murmur that is apical and holo- or pan-systolic radiating to left axilla; high-pitched blowing holosystolic murmur.

Mitral valve prolapse - loudest during valsalva maneuver. Midsystolic click followed by late systolic murmur.

AS - Crescendo-decrescendo mid-systolic ejection murmur radiating to the neck; weak and late pulses; harsh systolic murmur; "diamond-shaped;" may be preceded by an opening click; pulsus parvus et tardus; paradoxical splitting of S2. may be due to age-related calcified aortic valve. Young adults with bicuspid aortic valve can also have this murmur.

MS - Loud S1 + diastolic murmur heard at apex; opening snap followed by delayed, rumbling late-diastolic murmur.

PS - Crescendo-decrescendo murmur; harsh systolic murmur heard along left middle to upper sternal border.

TS - Diastolic murmur that increases with inspiration.

TR - High-pitched blowing holosystolic murmur; heard at the lower left parasternal area; varies with respiration; becomes louder with inspiration; prominent jugular pulse. (could be due to Ebstein anomaly or IV drug abuse).

Hope this helps....
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aktorque!!!!!!!!!!!! you're the one!!
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The reason I posted this;
A q from FA; elderly with diatolic mumur radiating to axilla, fever and past hitory of recent nosocomial UTI.

I was thinking endocarditis, probably involving aorta, so AR ,,,distolic murmur. BUT radiating to axilla?? i knew about MR. but MR is PANsystolic.

@aktroque; i did not know MR can cause diastolic murmur.
Can I have the reference please?
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Old 02-15-2011
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Quote:
Originally Posted by hana View Post
The reason I posted this;
A q from FA; elderly with diatolic mumur radiating to axilla, fever and past hitory of recent nosocomial UTI.
So what was the answer in FA
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Quote:
Originally Posted by hana View Post
The reason I posted this;
A q from FA; elderly with diatolic mumur radiating to axilla, fever and past hitory of recent nosocomial UTI.

I was thinking endocarditis, probably involving aorta, so AR ,,,distolic murmur. BUT radiating to axilla?? i knew about MR. but MR is PANsystolic.

@aktroque; i did not know MR can cause diastolic murmur.can i have the reference please?
This is from my class notes. I don't have any reference to give you other than my note book lol
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Old 02-15-2011
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It's listed in this table from Clinical Methods: The History, Physical, and Laboratory Examinations.

It seems weird, though, that something so esoteric would be asked on Step 1 - doesn't it seem kind of Step 2-ish?
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Old 02-16-2011
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Post I am correct

Quote:
Originally Posted by mary View Post
Mitral regurgitation murmur is NOT DIASTOLIC it's HOLOSYSTOLIC
dear dr.mary
mitral regurgitation is the answer for this one.,i am correct
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Old 02-16-2011
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Quote:
Originally Posted by pnreddy View Post
dear dr.mary
mitral regurgitation is the answer for this one.,i am correct
Dear Dr pnreddy,
How did you know that MR is the answer!!
The original poster (hana) refused to tell the correct answer
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