Cardio Physical Exam Buzzwords

S3 gallop

Dilated cardiomyopathy

S4 gallop

Hypertrophic cardiomyopathy

Fixed split S2

ASD

Left systolic murmur radiating to neck

Aortic stenosis

Left harsh, crescendo-decrescendo systolic ejection murmur

Aortic stenosis

Left systolic murmur radiates to axilla or base of heart

Mitral regurgitation

Left blowing, high-pitched, holosystolic murmur

Mitral regurgitation

Louder murmur with decreased flow

HOCM, MVP

Left mid-ejection systolic click, late crescendo systolic murmur

MVP

Left systolic ejection murmur, no radiation, quieter with inspiration

HOCM

Right harsh, crescendo-decrescendo systolic ejection murmur

Pulmonary stenosis

Right blowing, high-pitched, holosystolic murmur

Tricuspid regurgitation

Left opening snap, low-pitched diastolic rumble

Mitral stenosis

Rheumatic heart disease valve issue

Mitral stenosis

Left blowing, high-pitched, decrescendo diastolic murmur

Aortic regurgitation

Continuous, machine-like murmur

PDA

Chest pain relieved by sitting up, learning forward

Pericarditis

Chest pain worse during inspiration/coughing

Pericarditis

Chest pain relieved by nitroglycerin

Stable angina

Tearing pain

Aortic dissection

Pulsus paradoxus

Cardiac tamponade

Kussmaul’s sign

Constrictive pericarditis

Cannon A wave

AV dissociation

Absent A wave

Afib/aflutter

Large V wave

Tricuspid regurgitation

Pulsus parvus et tardus in carotid artery

Aortic stenosis

Pulsus bisferiens

HOCM or aortic regurgitation

Pulsus alternans

Ventricular dysfunction

Bruit

Stenosis

Laterally displaced PMI

Dilated cardiomyopathy

Sustained PMI through systole

Left ventricular hypertrophy