A patient was admitted on the night shift with a diagnosis of acute myocardial infarction.Upon auscultation, the nurse hears a harsh, holosystolic murmur along the left sternal border.The nurse notifies the physician immediately because the symptoms are indicate the patient has developed

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Ventricular septal rupture is a new opening in the septum between the two ventricles.It creates a harsh, holosystolic murmur that is loudest (by auscultation)along the left sternal border.Papillary muscle rupture is auscultation of a new, high-pitched, holosystolic, blowing murmur at the cardiac apex.Tricuspid stenosis is a quiet murmur that becomes louder with inspiration and is located in the epigastrium area.A pericardial friction rub is a sound that can occur within 2 to 7 days after a myocardial infarction.The friction rub results from pericardial inflammation (pericarditis).Classically, a pericardial friction rub is a grating or scratching sound that is both systolic and diastolic, corresponding to cardiac motion within the pericardial sac.

A Patient Was Admitted on the Night Shift with a Diagnosis