#HEART MURMURS MADE EASY PDF SERIES#

And you’re going to get left bundle branch block.Īnd for those of you thinking, ahead of the game, will right ventricular hypertrophy, unopposed cause right bundle branch block? The answer is yes.īack to aortic stenosis – I see the left ventricular hypertrophy because it’s backing up. So, what’s going to happen to the left ventricle? The left ventricle is going to hypertrophy.Īnd then go and stretch and stretch and stretch and stretch and stretch and stretch and stretch that left ventricle and you’re going to rupture the wires in there. Are you going to take this, or are you going to fight back? I’m going to fight back a little bit, Joe. Who’s got to work harder to open the door? It’s the left ventricle. Who’s got to work harder to push against this stenotic aortic valve. Where’s the aortic valve located? The right second intercostal space. Right? Aortic stenosis is a systolic murmur! Oh, then I see your point, then that is a systolic murmur. The aortic valve is supposed to be closed during diastole, and it will close. When are you going to have problems with this valve? During systole or diastole?

I have this stenotic aortic valve, and it can’t open up. Okay, so let’s start with the first one-aortic stenosis. And then, of course, everything down south after that. Where does blood flow third? That would be my left subclavian artery, and if I lack blood flow, then I get left arm pain. If I lack blood flow to my internal or external carotids, how will I feel? Lightheaded with syncope and dizziness. What’s the second thing that gets fed after the aortic valve? Well, that’d be my internal and external carotid arteries.

If I’m lacking blood flow to my coronary arteries, how’s that feel? I’ve got chest pain.

Now, who gets fed right after the aortic valve? Well, that’d be the coronary arteries. The valve is going to be open during systole and is going to be closed during diastole. And for those who are in a safe place, close your eyes because it makes more sense. Opening during systole, closing during diastole. So, guess what, we’re going to do it my way. How did it work out? Probably not so well. Don’t rely on keywords (trigger words) for your PANCE because they’re gone!.That’s what the creators of the PANCE did about two to three years ago. And that’s the key point- all the trigger words, all those high-value trigger words, they’re gone. And then you get to that test question, and you’re completely clueless on it, you’re like, “I have no idea what they just said, Joe, I have no idea.”Īnd then you’re back to scrambling, looking for some word that’s going to trigger you. We will look at it and try to really make sense of it all.īecause I know what you did in PA school, you had that little diagram that you made, you know, systolic or diastolic murmurs. We’re going to cover each valve one at a time. And then, in the fifth part of this series, we’re going to wrap this all together.The fourth part will be about the tricuspid valve.The third will be all about the pulmonic valve.The second part will cover the mitral valve.The first part is going to be on the aortic valve (today’s episode).Today we’re going to start talking about heart murmurs, and we are going to break this down into a five-part series: Are you ready for the two words? Heart murmurs!

#HEART MURMURS MADE EASY PDF SERIES#

This is Joe Gilboy PA-C, and today is part one of a five-part series on the two most dreaded words that every pa student and recert PA hates.

Heart murmurs made easy pdf