Aortic Stenosis
Systolic<unk> unk>  best in the aortic area; rarely at apex
Crescendo-decrescendo, radiates to carotids
A2 decreased
Paradoxical splitting of S2; narrow pulse pressure
Pulsus parvus et tardus
Aortic Insufficiency
Diastolic blowing<unk> unk>  at left sternal border in 3rd and 4th interspace
Wide pulse pressure
Quincke's sign (capillary pulsations at fingertips), DeMusset's sign (bobbing head), Muller's sign (pulsing uvula), and Corrigan's pulse (water hammer)
Pistol shot sounds
Pulmonic stenosis
Systolic<unk> unk>  in pulmonic area, transmitted to back and neck
A2 is decreased, P2 is delayed, and RVH with parasternal lift
Pulmonic insufficiency
High pitched diastolic<unk> <unk>  in pulmonic area; decrescendo; RVH
Mitral Stenosis
Low rumbling diastolic<unk> unk>  best at apex with bell
Opening snap sometimes present worse with closer to S2
Loud S1
Associated with left atrial dilation
Can<unk> presystolic sound confused with systolic<unk> Mitral Insufficiency
Loud, holosystolic, high-pitched,<unk>  best at apex and transmitted to axilla
Soft S1
Severity gauged by s3, rumble.
Paradoxical splitting
Systolic<unk> unk>  best in the aortic area; rarely at apex
Crescendo-decrescendo, radiates to carotids
A2 decreased
Paradoxical splitting of S2; narrow pulse pressure
Pulsus parvus et tardus
Diastolic blowing<unk> unk>  at left sternal border in 3rd and 4th interspace
Wide pulse pressure
Quincke's sign (capillary pulsations at fingertips), DeMusset's sign (bobbing head), Muller's sign (pulsing uvula), and Corrigan's pulse (water hammer)
Pistol shot sounds
Systolic<unk> unk>  in pulmonic area, transmitted to back and neck
A2 is decreased, P2 is delayed, and RVH with parasternal lift
High pitched diastolic<unk> <unk>  in pulmonic area; decrescendo; RVH
Low rumbling diastolic<unk> unk>  best at apex with bell
Opening snap sometimes present worse with closer to S2
Loud S1
Associated with left atrial dilation
Can<unk> presystolic sound confused with systolic<unk> Loud, holosystolic, high-pitched,<unk>  best at apex and transmitted to axilla
Soft S1
Severity gauged by s3, rumble.
Paradoxical splitting
Gallavardin Effect
AS sounds like MR - high frequency vibrations to the apex through a calcific AV
Austin-Flint
MS sounds like AR - Soft, rumbling<unk>  likely due to functional mitral valve stenosis as the backflow of blood from the aorta presses on anterior leaflet of MV
Parodoxical S2
Splittin during expiration and goes away during inspiration
Secondary to inc left sided volume; AS, HOCM
Wide S2
secondary to Inc right sided volume; PE, ASD, VSD, Pulmonic stenosis
S3
AKA ventricular gallop produced during passive LV filling when blood strikes a compliant LV; CHF, Inc Vol, CAD, benign in youth, train athletes
S4
AKA atrial gallop produced when blood is forced into a stiff/hypertrophic ventricle ;MI, hypertension, restrictive cardiomyopathy
AS sounds like MR - high frequency vibrations to the apex through a calcific AV
MS sounds like AR - Soft, rumbling<unk>  likely due to functional mitral valve stenosis as the backflow of blood from the aorta presses on anterior leaflet of MV
Splittin during expiration and goes away during inspiration
Secondary to inc left sided volume; AS, HOCM
secondary to Inc right sided volume; PE, ASD, VSD, Pulmonic stenosis
AKA ventricular gallop produced during passive LV filling when blood strikes a compliant LV; CHF, Inc Vol, CAD, benign in youth, train athletes
AKA atrial gallop produced when blood is forced into a stiff/hypertrophic ventricle ;MI, hypertension, restrictive cardiomyopathy
Heart murmurs
Mitral stenosis
Palpitations
Mitral regurgitation
Chest pain 
Mitral valve prolapse
Stridor 
Aortic stenosis