Match the classic auscultatory physical exam findings described below with the most likely underlying valvular pathology.
- Harsh crescendo-decrescendo systolic murmur radiating to the carotidsAortic stenosis
- Holosystolic high-pitched blowing murmur radiating to the axillaMitral regurgitation
- Early diastolic decrescendo murmur heard best at the left sternal borderAortic regurgitation
- Mid-diastolic rumbling murmur preceded by an opening snapMitral stenosis
Cevap
The accurate matches are: Harsh crescendo-decrescendo systolic murmur radiating to the carotids aligns with Aortic stenosis. Holosystolic high-pitched blowing murmur radiating to the axilla aligns with Mitral regurgitation. Early diastolic decrescendo murmur heard best at the left sternal border aligns with Aortic regurgitation. Mid-diastolic rumbling murmur preceded by an opening snap aligns with Mitral stenosis.
Each valvular lesion produces characteristic changes in blood flow that generate specific murmurs. Aortic stenosis creates a systolic outflow obstruction murmuring toward the neck. Mitral regurgitation creates a systolic backflow into the atrium, radiating laterally. Aortic regurgitation leaks in diastole along the sternal border, and mitral stenosis obstructs diastolic filling, heralded by an opening snap.
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Classic Auscultatory Findings of Valvular Heart Disease
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