MURMURS
Grading of intensity of murmurs:
Grade I - So faint and heard only with special effort
Grade II - Soft but readily detected
Grade III - Prominent but not loud
Grade IV - Loud usually with palpable thrill
Grade V - Very loud with thrill
Grade VI - Heard without stethoscope on the chest wall
Classification of Murmurs: (Systolic, Diastolic and Continuous)
1.Systolic Murmur(SM)
a) Mid Systolic Ejection Murmur:
b) Pansystolic à MI, TI, VSD
c) Late Systolic à MVP, PS, HOCM.
2. Diastolic Murmurs
a) Early Diastolic:
à AI
à PI
à Graham Steell’s Murmur
b) Mid Diastolic:
à MS
à TS
à Carey Coomb’s Murmur
à Austin Flint’s Murmur
à Flow Murmurs
c) Late Diastolic:
à MS
à TS
à Lt and Rt Atrial Myxona
3. Continuous Murmurs
à PDA
à Surgically Produced shunts in TOF
à Coarctation Aorta
à Venous Hum
à Mammary Souffle
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