Front | Back |
Period of ventricular contraction
|
Systole
|
Period of ventricular relaxation
|
Diastole
|
S1
|
First heart sound, closure of the AV valves (mitral/bicuspid and tricuspid valves)
|
S2
|
Second heart sound, closures of the semilunar valves (aortic and pulmonary valves)
|
S3
|
Third heart sound, blood oscillating betwene wall and ventricles or tensing of chordae tendinae
|
S4
|
Fourth heart sound, blood rushing against stiff ventricles
|
Cardiac Auscultation (4)
|
Mitral valve, tricuspid valve, pulmonic valve, aortic valve
|
Where do you auscultate for the mitral valve
|
Left, midclavicular, 5th intercostal space
|
Where do you auscultate for the tricuspid valve
|
Left, lower sternal border, 4/5th intercostal space
|
Where do you auscultate for the pulmonic valve
|
Left, sternal border, 2/3rd intercostal space
|
Where do you auscultate for the aortic valve
|
Right, sternal border, 2nd intercostal space
|
Which side of the stethoscope is for high pitched sounds
|
Diaphragm
|
Which side of the stethoscope is for low pitched sounds
|
Bell
|
Which heart sounds are heard with the diaphragm
|
S1 and S2
|
Which heart sounds are heard with the bell
|
S3 and S4
|