Rheumatic fever causes which murmur? - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
USMLE Articles
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam

Thread Tools Search this Thread Display Modes
Old 05-12-2011
USMLE Forums Newbie
Steps History: Not yet
Posts: 1
Threads: 1
Thanked 0 Times in 0 Posts
Reputation: 10
Stethoscope Rheumatic fever causes which murmur?

I'm really confused on if rheumatic heart disease causes a aortic stenosis or a mitral regurgitation or mitral stenosis, it's really confusing me......
thanks for the help
Reply With Quote Quick reply to this message

Old 05-12-2011
USMLE Forums Addict
Steps History: 1+CK+CS
Posts: 116
Threads: 13
Thanked 48 Times in 37 Posts
Reputation: 58

early lesion causes mitral valve prolapse
late sequalae of lesion causes mitral stenosis
Reply With Quote Quick reply to this message
The above post was thanked by:
Future Radiolog (05-12-2011)
Old 05-12-2011
Future Radiolog's Avatar
USMLE Forums Scout
Steps History: Not yet
Posts: 29
Threads: 4
Thanked 17 Times in 11 Posts
Reputation: 27

Endocarditis in rhaumatic fever affects the mitral valave most commonly, aortic valve less commonly, tricuspid & pulmonary valaves rarely

It starts as regurgitation at first, & years later it becomes stenosis

Mitral regurgitation: high-pitched apical holosystolic murmur radiating to axilla
Aortic regurgitation: high-pitched decresendo diastolic murmur at upper left sternal border

And there's what's called "Carey-Coombs murmur": mid-diastolic rumbling murmur heard at the apex
it's due to the thickening of the inflammed mitral valve leaflets during the early stage of rheumatic fever

Hope this answers your question
Reply With Quote Quick reply to this message
The above post was thanked by:
m82_ghasemi (09-17-2011), napsterdawson (06-29-2015), qurat21 (05-14-2011), step1saga (05-13-2011), Taiwan_Guy (05-12-2011)


Cardiovascular-, Clinical-Signs, Pathology-

Quick Reply

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Please enter a password for your user account. Note that passwords are case-sensitive.
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Where you live. Leave blank if you don't want to tell.


Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.

Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Similar Threads
Thread Thread Starter Forum Replies Last Post
Rheumatic Fever Jone's Criteria Mnemonic koko81 USMLE Step 1 Mnemonics 2 03-08-2016 12:52 AM
Murmur Intensity with Respiration rasheed USMLE Step 2 CK Bits & Pieces 3 12-10-2014 07:24 PM
Daistolic Murmur Radiating to the Axilla! hana USMLE Step 1 Forum 14 02-16-2011 02:08 PM
Valvular Rheumatic Heart Disease Seetal USMLE Step 1 Forum 10 02-12-2011 11:32 AM
Murmur of Mitral Regurgitation Xaquake USMLE Step 2 CK Forum 2 02-28-2010 10:11 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)