A patient with mitral stenosis shows a loud ______ murmur be… | 마이메르시 MyMerci
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Diseases of the circulatory system
문제

A patient with mitral stenosis shows a loud ______ murmur best heard at the apex with the bell of the stethoscope.

해설
A rumbling murmur is characteristic of mitral stenosis and is best heard with the bell of the stethoscope at the cardiac apex. This low-pitched diastolic murmur occurs as blood attempts to flow through the narrowed mitral valve during ventricular filling.
같은 주제 다음 문제The patient's EKG shows significant ST ______ in leads V2 through V4, suggesting acute ant…

임상 시나리오

Mitral Stenosis Murmur Characteristics:
- Low-pitched diastolic murmur
- Best heard at cardiac apex
- Bell of stethoscope required
- Opening snap often precedes murmur
- Increased intensity in left lateral position
- Loudest in presystole with sinus rhythm
- Duration correlates with severity
- Associated findings: loud S1, P2 accentuation
- Causes: rheumatic fever, calcification
- Hemodynamic effects: LA enlargement, pulmonary hypertension
- Symptoms: dyspnea, fatigue, palpitations
- Auscultation technique: patient in left lateral decubitus
- Grade: I-IV/VI intensity scale
- Transmission: limited to apical area
- Differential diagnosis: Austin Flint murmur

핵심 개념

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