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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"

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