tag:blogger.com,1999:blog-51130482066901797532024-03-14T02:43:26.635-04:00MurmurPearlsDedicated to improving cardiac auscultation for everyone. Let's create a community where we share tips, pearls, advice, and cases. Together we can prove that cardiac auscultation is not a thing of the past!
Blog by the creators of MurmurQuiz.
Visit <a href="https://MurmurQuiz.org/">MurmurQuiz</a> to test your cardiac ausculatory skills!MurmurQuizhttp://www.blogger.com/profile/10288318596585401711noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-5113048206690179753.post-88851536299666552962017-05-18T14:23:00.000-04:002017-05-18T14:23:09.737-04:00S3 Gallop<span class="TextRun SCX227400537" lang="EN-US" style="-webkit-app-region: no-drag; -webkit-appearance: none; -webkit-background-clip: border-box; -webkit-background-origin: padding-box; -webkit-border-image: none; -webkit-box-align: stretch; -webkit-box-decoration-break: slice; -webkit-box-direction: normal; -webkit-box-flex-group: 1; -webkit-box-flex: 0; -webkit-box-lines: single; -webkit-box-ordinal-group: 1; -webkit-box-orient: horizontal; -webkit-box-pack: start; -webkit-font-smoothing: auto; -webkit-highlight: none; -webkit-hyphenate-character: auto; -webkit-line-break: after-white-space; -webkit-locale: "en-US"; -webkit-margin-collapse: collapse collapse; -webkit-mask-box-image-outset: 0px; -webkit-mask-box-image-repeat: stretch; -webkit-mask-box-image-slice: 0 fill; -webkit-mask-box-image-source: none; -webkit-mask-box-image-width: auto; -webkit-mask-composite: source-over; -webkit-mask: none 0% 0% / auto repeat border-box border-box; -webkit-print-color-adjust: economy; -webkit-rtl-ordering: logical; -webkit-tap-highlight-color: rgba(0, 0, 0, 0); -webkit-text-combine: none; -webkit-text-emphasis-position: over; -webkit-text-emphasis: none rgb(0, 0, 0); -webkit-text-fill-color: rgb(0, 0, 0); -webkit-text-orientation: vertical-right; -webkit-text-security: none; -webkit-text-stroke-color: rgb(0, 0, 0); -webkit-user-drag: none; -webkit-user-modify: read-write; -webkit-writing-mode: horizontal-tb; align-content: stretch; align-items: stretch; align-self: stretch; alignment-baseline: auto; animation: none 0s ease 0s 1 normal none running; backface-visibility: visible; background-attachment: scroll; background-blend-mode: normal; background-clip: border-box; background-image: none; background-origin: padding-box; background-position: 0% 0%; background-repeat: repeat; background-size: auto; baseline-shift: 0px; border-collapse: separate; border-radius: 0px; border-spacing: 0px; border: 0px none rgb(0, 0, 0); bottom: auto; box-shadow: none; box-sizing: content-box; break-after: auto; break-before: auto; break-inside: auto; buffered-rendering: auto; caption-side: top; clear: none; clip-path: none; clip-rule: nonzero; clip: auto; color-interpolation-filters: linearRGB; color-interpolation: sRGB; color-rendering: auto; column-gap: normal; column-rule: 0px none rgb(0, 0, 0); column-span: none; columns: auto auto; cursor: text; cx: 0px; cy: 0px; d: none; direction: ltr; display: inline; dominant-baseline: auto; empty-cells: show; fill-opacity: 1; fill-rule: nonzero; fill: rgb(0, 0, 0); filter: none; flex-flow: row nowrap; flex: 0 1 auto; float: none; flood-color: rgb(0, 0, 0); flood-opacity: 1; font-family: Calibri, sans-serif; font-kerning: auto; font-size: 14.6667px; font-stretch: normal; font-variant-ligatures: no-common-ligatures no-discretionary-ligatures no-historical-ligatures no-contextual; font-variant-numeric: normal; height: auto; hyphens: manual; image-rendering: auto; isolation: auto; justify-content: flex-start; left: auto; lighting-color: rgb(255, 255, 255); line-height: 19px; list-style: disc outside none; margin: 0px; marker: none; mask-type: luminance; mask: none; max-height: none; max-width: none; min-height: 0px; min-width: 0px; mix-blend-mode: normal; motion: none 0px auto 0deg; object-fit: fill; object-position: 50% 50%; offset-rotate: auto 0deg; opacity: 1; order: 0; outline-offset: 0px; outline: rgb(0, 0, 0) none 0px; overflow-anchor: auto; overflow-wrap: break-word; overflow: visible; padding: 0px; paint-order: fill; perspective-origin: 0px 0px; perspective: none; pointer-events: auto; position: static; r: 0px; resize: none; right: auto; rx: auto; ry: auto; shape-image-threshold: 0; shape-margin: 0px; shape-outside: none; shape-rendering: auto; speak: normal; stop-color: rgb(0, 0, 0); stop-opacity: 1; stroke-dasharray: none; stroke-dashoffset: 0px; stroke-linecap: butt; stroke-linejoin: miter; stroke-miterlimit: 4; stroke-opacity: 1; stroke-width: 1px; stroke: none; tab-size: 8; table-layout: auto; text-align-last: auto; text-anchor: start; text-overflow: clip; text-rendering: auto; text-shadow: none; text-size-adjust: auto; top: auto; touch-action: auto; transform-origin: 0px 0px 0px; transform-style: flat; transform: none; transition: all 0s ease 0s; unicode-bidi: normal; user-select: text; vector-effect: none; vertical-align: baseline; visibility: visible; width: auto; will-change: auto; word-break: normal; word-wrap: break-word; writing-mode: horizontal-tb; x: 0px; y: 0px; z-index: auto; zoom: 1;" xml:lang="EN-US"><span class="NormalTextRun SCX227400537"><span style="font-size: 14.6667px;">S3 is best heard with the bell at the APEX to LLSB. </span>An intermittent S3 can be a normal finding in children and adolescents. </span></span>MurmurQuizhttp://www.blogger.com/profile/10288318596585401711noreply@blogger.com1tag:blogger.com,1999:blog-5113048206690179753.post-57991393259881073872017-05-11T10:06:00.000-04:002017-05-11T12:02:02.989-04:00S2 Splitting<span class="TextRun SCX201307348" lang="EN-US" style="-webkit-appearance: none; animation: none 0s ease 0s 1 normal none running; backface-visibility: visible; background-attachment: scroll; background-image: none; background-position: 0% 0%; background-repeat: repeat; background-size: auto; border-collapse: separate; border-radius: 0px; border-spacing: 0px; border: 0px none rgb(0 , 0 , 0); bottom: auto; box-shadow: none; box-sizing: content-box; caption-side: top; clear: none; clip: auto; cursor: text; direction: ltr; display: inline; empty-cells: show; float: none; font-family: "calibri" , sans-serif; font-size: 14.6667px; font-stretch: normal; height: auto; left: auto; line-height: 19px; list-style: disc outside none; margin: 0px; max-height: none; max-width: none; min-height: 0px; min-width: 0px; opacity: 1; outline: rgb(0 , 0 , 0) none 0px; overflow-wrap: break-word; overflow: visible; padding: 0px; perspective-origin: 0px 0px; perspective: none; position: static; resize: none; right: auto; speak: normal; table-layout: auto; text-overflow: clip; text-shadow: none; top: auto; transform-origin: 0px 0px 0px; transform-style: flat; transform: none; transition: all 0s ease 0s; unicode-bidi: normal; vertical-align: baseline; visibility: visible; width: auto; word-break: normal; word-wrap: break-word; z-index: auto; zoom: 1;" xml:lang="EN-US"><span class="NormalTextRun SCX201307348">Splitting of S2 is best heard at the LUSB to LMSB, and is usually not heard at the APEX. This is because P2 (the pulmonary closure component of S2) is usually softer than A2 and requires listening near the pulmonary valve to be audible.</span></span>MurmurQuizhttp://www.blogger.com/profile/10288318596585401711noreply@blogger.com0tag:blogger.com,1999:blog-5113048206690179753.post-84112591684894893452017-05-04T09:00:00.001-04:002017-05-04T11:32:12.689-04:00Non Ejection Systolic Click<span style="font-family: "calibri" , sans-serif; font-size: 14.6667px;">Mitral valve prolapse causes a mid to late systolic (non ejection) click, best heard at the APEX to LLSB. The click occurs later (moves closer to S2) in squatting position and earlier (moves closer to S1) in the standing position.</span>MurmurQuizhttp://www.blogger.com/profile/10288318596585401711noreply@blogger.com0tag:blogger.com,1999:blog-5113048206690179753.post-55021510725104395862017-04-28T09:22:00.002-04:002017-04-28T09:22:55.498-04:00Pearl #1 is about S1<span style="font-size: 14.6667px;">S1 splitting is best heard at the LLSB and is sometimes confused with an early systolic ejection click which can usually be heard well at the APEX, especially in the sitting position!</span>MurmurQuizhttp://www.blogger.com/profile/10288318596585401711noreply@blogger.com0tag:blogger.com,1999:blog-5113048206690179753.post-63745989618694964032017-04-27T09:20:00.000-04:002017-04-27T10:23:03.850-04:00Coming Soon!Stay tuned! We will have this site up and running shortly with cardiac tips and tricks.<br />
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It is our hope that together we can create an online community to share tips, cases, or questions related to cardiac auscultation.<br />
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Don't forget to check out MurmurQuiz.org to learn and evaluate your auscultation skills.<br />
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Together we will revitalize cardiac auscultation!!MurmurQuizhttp://www.blogger.com/profile/10288318596585401711noreply@blogger.com0