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Normal Heart Sounds at Aortic Area S2 louder than S1 Normal Heart Sounds at Pulmonic Area S2 louder than S1, Split S2 on inspiration, A2 before P2 Normal Heart Sounds at Tricuspid Area Fixed splitting of S1, S1 louder than S2 Normal Heart Sounds at Mitral Area S3 (ok in kids and hyperkinetic states but pathologic in elderly-- volume overload) Aortic Stenosis Loud at aortic area, Systolic murmur, S4 at mitral Aortic Regurgitation Diastolic murmur, heard best over aortic area Mitral Stenosis Diastolic murmur, WHEEZING Ventricular Septal Defect Systolic Murmur, heard best over tricuspid area Mitral Valve Prolapse Systolic Murmur, ONLY at tricuspid and loudest over mitral area Pericarditis Washing machine agitator heard best at pulmonic area Pulmonary Stenosis Systolic Murmur, heard best over pulmonic area, NO S4 @ MITRAL AREA!! Innocent Murmur Pulmonic area keeps its split and this is a little lower Summation Gallop Mitral Area, sounds like a horse S4 Mitral area just before S1 PDA/Mechanical Pulmonic area "big blowing hurricane"