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Script: Timing, Location, shape(character), intensity, associated features [pitch, characteristic (harsh, blowing, rumbling), radiation]
“This patient has a harsh / soft / blowing, Grade …, systolic / diastolic murmur, heard loudest in the aortic / mitral / tricuspid / pulmonary area, that does not / radiates to the carotids / left axilla. It is high / low pitched and has a crescendo / decrescendo / crescendo-decrescendo shape. This is suggestive of a diagnosis of mitral stenosis / aortic stenosis.”
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Old Table
7S of benign sound of murmur
Systolic, Diastolic, Continuous
SEM = mid-systolic, crescendo-decrescendo
| RUSB ‣ (SEM) | LUSB Flow Murmur (SEM); ‣ (SEM); ‣ , ‣ (SEM); ‣ **AVSD** (SEM);
‣ (louder in S, machinary) | | | --- | --- | --- | | | LLSB ‣ (Holo); ‣ (Holo, lean forward); Still’s (SEM)
AR (early) | Apex MR (Holo)
MS (mid-late) |