Acute Pericarditis 57 | Auscultation Cheat Sheet with Sounds & Video | #106

Here is an example of acute pericarditis auscultated at Erb's Point. Murmurs are caused by turbulent blood flow across incompetent or stenotic valves. In contrast, a pericardial friction rub is caused by the rubbing together of two surfaces of the pericardial sack. The pericardial friction rub has three parts; a systolic component, an early diastolic component and a late diastolic component. The first and second heart sounds are obscured by the rubbing sounds. In the anatomy video you can see the yellow fluid accumulation around the heart caused by an inflamed pericardial sack.

Acute Pericarditis 57 Audio

Acute Pericarditis 57 auscultation sound from lesson
waveform

Patient Sounds

patient heart or lung sound
Acute Pericarditis 57 patient recording

Half Speed Patient Sounds

patient heart or lung sound
Acute Pericarditis 57 half speed

Technique

Patient position
The patient's position should be sitting leaning forward.

Auscultation Tips

S1:Rubbing, scratchy sound
Systole:Rubbing, scratchy sound, usually loudest during systole
S2:Rubbing, scratchy sound
Diastole:Rubbing, scratchy sound

Sound Wave



Observe Cardiac Animation

Review the cardiac animation and notice the yellow fluid accumulation around the heart caused by an inflamed pericardial sack.
Authors and Sources

Authors and Reviewers


Sources

  • Electrocardiography for Healthcare Professionals, 6th Edition Kathryn Booth and Thomas O'Brien
    ISBN10: 1265013470, ISBN13: 9781265013479
    McGraw Hill, 2023
  • Rapid Interpretation of EKG's, Sixth Edition
    Dale Dublin
    Cover Publishing Company
  • EKG Reference Guide
    EKG.Academy
  • 12 Lead EKG for Nurses: Simple Steps to Interpret Rhythms, Arrhythmias, Blocks, Hypertrophy, Infarcts, & Cardiac Drugs
    Aaron Reed
    Create Space Independent Publishing
  • Heart Sounds and Murmurs: A Practical Guide with Audio CD-ROM 3rd Edition
    Elsevier-Health Sciences Division
    Barbara A. Erickson, PhD, RN, CCRN
  • The Virtual Cardiac Patient: A Multimedia Guide to Heart Sounds, Murmurs, EKG Jonathan Keroes, David Lieberman
    Publisher: Lippincott Williams & Wilkin)
    ISBN-10: 0781784425; ISBN-13: 978-0781784429
  • Project Semilla, UCLA Emergency Medicine, EKG Training Breena R. Taira, MD, MPH
  • ECG Reference Guide
    PracticalClinicalSkills.com
Return to Reference Guide Index Page
Acute Pericarditis 57 | Auscultation Cheat Sheet with Sounds & Video | #106




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