Carey Coombs murmur

Carey Coombs murmur or Coombs murmur

1. Murmur is caused by increased blood flow across a thickened mitral valve
2. Occurs in patients with mitral valvulitis
3. Due to acute rheumatic fever.
4. Short, mid-diastolic rumble best heard at the apex
5. Disappears as the valvulitis improves.
6. Often associated with an S3 gallop rhythm,
7. Distinguished from the diastolic murmur of mitral stenosis by the absence of an opening snap before the murmur.

Carey Coombs murmur

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