Tumor Plop and S2 Lesson
The patient was supine during auscultation.
Description
A single S2 followed by a tumor plop in diastole can also mimic a split second heart sound.
If you move the stethoscope chestpiece to the pulmonic position, the tumor plop diminishes or disappears. But if two distinct sounds at the pulmonic area are observed, then this is likely to be an S2 split.
Tumor plop and third heart sound gallop have the same timing and frequency. It is not possible to distinguish one from the other.
Phonocardiogram
Anatomy
Tumor Plop and S2
Authors and Sources
Authors and Reviewers
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Heart sounds by Dr. Jonathan Keroes, MD and David Lieberman, Developer, Virtual Cardiac Patient.
- Lung sounds by Diane Wrigley, PA
- Respiratory cases: William French
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David Lieberman, Audio Engineering
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Heart sounds mentorship by >W. Proctor Harvey, MD
- Special thanks for the medical mentorship of Dr. Raymond Murphy
- Reviewed by Dr. Barbara Erickson, PhD, RN, CCRN.
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Last Update: 11/10/2021
Sources
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Heart and Lung Sounds Reference Library
Diane S. Wrigley
Publisher: PESI -
Impact Patient Care: Key Physical Assessment Strategies and the Underlying Pathophysiology
Diane S Wrigley & Rosale Lobo - Practical Clinical Skills: Lung Sounds
- PESI Faculty - Diane S Wrigley
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Case Profiles in Respiratory Care 3rd Ed, 2019
William A.French
Published by Delmar Cengage -
Essential Lung Sounds
by William A. French
Published by Cengage Learning, 2011 -
Understanding Lung Sounds
Steven Lehrer, MD
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Clinical Heart Disease
W Proctor Harvey, MD
Clinical Heart Disease
Laennec Publishing; 1st edition (January 1, 2009) -
Heart and Lung Sounds Reference Guide
PracticalClinicalSkills.com
