Murmurs

Question 1

What is the diagnosis?

• Normal S1 and S2
• grade 3/6 crescendo-decrescendo systolic ejection murmur
• RUSB without radiation
• Maneuvers:
  
  • Valsalva –> increase
  • Handgrip –> decrease

Answer 1

HOCM

• dynamic outlfow tract obstruction
  *

Question 2

What is the diagnosis?

• systolic murmur
• lower sternal border
• increases in intensity with inspiration
• Pulsatile liver edge

Answer 2

severe TR

• Hepatic vein flow reversal