Heart Murmurs | Locations, Maneuvers, Buzzwords 

for the record, there are 2 small corrections: (1) The slides show two S1's marked on the visual representation of the murmurs. Obviously, it should say S1 and S2. (2) Mitral Stenosis is a diastolic murmur, however, our video incorrectly depicts it as being systolic on the slide about MS (the visual representation). Also (not a correction), remember that Aortic Regurgitation is described as a "blowing" murmur. That's all. The video is still bomb diggity awesome if I may say so myself

A professor at my school came up with a pretty great memory hook that I thought I would share: "(h)ARD fall, ASS bump, MSD (missed) u, MRS thru" ARD = Aortic Regurg, Diastolic; fall = decrescendo \ ASS = Aortic Stenosis, Systolic; bump = crescendo-decrescendo / \ MSD = Mitral Stenosis, Diastolic; u = decrescendo-crescendo \_/ MRS = Mitral Regurg, Systolic; thru = holo-systolic --- If you take a hARD fall, you'll have an ASS bump, if someone says they MSD you, then you and your MRS are thru Pulmonic follows same rules as aortic (in pulmonic area), Tricuspid follows same rules as mitral (in tricuspid area)

Used this video last year for step 1 and it came in super handy. Studying for step 2 now and I'm still getting questions right from what I learned on here a year ago. Just wanted to come back and say how clutch y'all are. Seriously. Thanks for doing what you do!

You are far better, in terms of quality and details, than most of the lecturers in medical school. I think the lecturer should just turn your video during lecture time and leave. This will benefit all of us.

Have been going madd for hours trying to understand WHY HOCM is louder with decreased pre-load. None of these board review books or videos have an answer. U-World just says “that’s how it is”. Finally, a video that explains it in somewhat of an understandable concept. Understanding WHY always helps, and this video at least attempts to do that. Thank you guys, great content, keep up the great work!

my god i don't even know what I learned in med school in those long lectures and paying thousands of dollars. We should just pay you instead

You guys are awesome! A mnemonic I got from a friend that you guys might like: “if your arms were chopped into parts, you will probably die” so ARMS PRTS represent all the DIastolic murmurs.

After going to b&b, USMLE Rx,UW, FA i almost gave up on understanding systolic vs diastolic murmurs and was ready to just memorize them without logic.THANK YOU DIRTY, its soo simple to understand now!Legit took me just 5 minutes to understand the entire thingy. This channel has to be a standard recommendation for all those preparing for STEP1.PERIOD.

When medical students across borders were in distress .....but in desperation to understand concepts.....GOD CREATED DIRTY USMLE FOR THEIR SAVIOUR ❣️❣️❣️❣️❣️

I'm only a minute or so into this video and I am absolutely blown away. I always struggle with this topic and it causes a lot of anxiety when answering practice questions, but this has made my life so much easier. Thank you so much!!!

I only wish I'd have watched this sooner! I struggled with this for YEARS and this vid is what finally put it together for me. Thanks so so SO much!

Thank you for all that you do for making notoriously difficult concepts easy to understand and memorable.

I was struggling with this topic. You guys made it super easy! Thanks.

Wow dude, in the first ten seconds I listened, you've already exceeded so many other videos. I love the mechanistic "logic" of how/when a sound would be heard. Thanks!

This video is awesome, I was able to get all of the heart murmur questions on my exam right thanks to this video. I highly recommend! Thanks so much!

Thank you so much for putting your time, dedication and brains into making this video. So useful!!

You absolute legend, Ijust got wrecked with amboss cardio but now I can understand this stuff. Much appreciated

Amazing... My UWorld scores have been going up thanks to your videos. Thanks!

I love you DM. None of my professors were able to explain this clearly. Some of them even get confused when they are talking without thinking. I was always confused by this topic, but now you clarified everything.

Thanks to your videos i now finally understand a lot of concepts I didn’t in med school. I will forever be grateful

this video helped me understand these murmurs tremendously! cannot thank you enough!!

I was worrying so much about my upcoming cardiology exam and this 22 min video has cleared my confusion so well. Kudos

Thanks million, will be reviewing for NP boards in January and I will be reviewing all your videos. Thank you sooooo much.

I have been legit learning murmurs since morning and I have learned more in 22 mins than I did the whole day.I I can't tell you how thankful I am for this.

currently on dedicated, this is amazing!!!!!!!!! thank you so much!!! super clear and helpful!!

Hey, good job. This is far better than all the long lectures I have attended. Concise and loaded.

You made my work so easy by such a phenomenal explanation! Thank you!

Another amazing video. Thank you so much!

this video nailed it with learning about the different murmurs.. this will definitely help me understand the etiology and functional component of each murmur while studying for HMPR during the advanced nurse practitioner program ..

I was so confused about the murmurs. Thanks a lot!

This is truly a great help for me. Really appreciate your video. MS:questions also come with recent travel history aka immigrants, pregnant women. PDA: cont. machine like murmur. Loudest @s2, best heard @ Lt-infraclavicular area. VSD: loud/harsh/high-pitch holo systolic (pansystolic) murmur. Radiates over Pre-cordium. ||||||||||||||||||| Thanks

A million of thanks! After all those years I finally understand!

YOU ARE INCREDIBLE!!!! THANK YOU SO MUCH!

Thank you for this lecture. I finally got an understanding of this concept that has been giving me tough times.

this was so so helpful! THANK YOU!

Very helpful video, thanks!

Amazing video! hope you continue to post new ones!

You made it look so easy! Thank you. Very useful ❤

Explained it so well. Thank you so much!

Thank you very much! You are awesome!!

Okay that was pretty dope.#Respect🙌🏽

best cardiology lecture about this topic hands down thank you so much

OMG. YOUR VIDEO IS SO AMAZING! Thank you endlessly! 😊😊 23/3/2019

Good lecture. Just one correction: Opening snap of Mitral stenosis occurs during diastole and therefore it should come after S2, not S1 as you have depicted in your slide.

just to be honest if you have a private channel I would register and pay for it ,what you are doing for med students is extremely helpful .God bless you and reward you with all your wishes .

Wow the maneuvers finally make sense now. Thank you Dirty!!

Tengo mi step2ck en una semana y este es el MEJOR video que que visto para soplos !!! I’m taking my step 2ck in a week and this is the BEST video that have seen about murmurs!!!

I really appreciate the work you put into this video Thank you

I liked this video. Very good tips!! Alas during my medical student time we were learning it the hard way and forgetting the easy way!!

I have to like every video even before I watch it because I just know it's going to be good

Thanks a lot for this high quality video!

Wish this was around when I went to med school 20 years ago. Nevertheless, it is helping for re-certification of the Boards. Thanks so much. You are incredible!

ur really a MVP in field of medicine lectures..as always u nailed it

After I pass NP boards this friday and secure a job, I promise I will donate. I owe you.

Thank you! Finally understand how murmurs increase and decreade!

Thanks a lot for the awesome videos which make the toughest topics so easy and comprehensive. Keep doing this great work 😀😀..

You're just the best. Thank you 💯

Thank You so much for your great help

I cannot even begin to thank you!!!! Thats just amazing!!!!

thank you for clearing everything so well! i was always confused with these murmurs

Thank you sm!!! Taught my 4 hr lecture in 22 minutes!!

you’re the best thank you so much!

U r awesome...murmers have been my weakness...i am finally confident i can get them rgt frm now...thankyouuuu somuchhhhh

THANK YOU SO MUCH.

This video is such a good review! Thank you so much!

Absolutely stunning, Thankyou so much 🎉

Thank youu!! the best mnemonics so far!

LOVE IT, thanks so much!

oh my god! I love your videos and all the tricks that you teach us. You are amazing!

Dude you're Godsent , i love your content! The OS is MS mnemonic killed me though 😂 😂 😂, how do you come up with these!!?

Amazing video, thanks!

Just excellent! thank you!

Thank you Dirty USMLE for this nice video presentation. As you've mentioned at the end part of MVP and something in relation to "younger women w/ psychiatric disorder" which is hard to understand why,then i began thinking about "if it has something to do during spontaneous delivery as they trying to push more harder until the baby comes out?" Because it was mentioned "younger woman and not man."

Excellent review! I love it Straight to the point

Do the maneuvers actually make the MVP louder or softer or are they affecting the timing of the midsystolic click (early vs later click), or are both volume and timing being affected?

thank you so much- just seeing this video and it has helped me !!

Thank you!

This was so helpful!!!! Thank you!

I could cry, thank you

I enjoy your videos and truly believe you are a gifted educator. However, I think a more accurate description of preload is the volume of blood remaining in the be ventricle prior to filling. I think it’s a more accurate hemodynamic definition. Especially in regards to Starling’s Law.

I heard that the points of hearing heart murmur are(1) regions of sounds(A valve? M Valve? Or?)(2) During diastolic or systolic(3)In special case like MVP, key word or key sounds like click sound. Do you think that it is a good strategy? Or, are there any points to rectify?

Anyway you could do a heart embryology video? :) (Septum primum and what not ahhh) Thanks for making these videos!!!

You are absolutely amazing

way i remember is that Semilunar valves (aortic and pulmonic) Stenosis in Systoly from there you can derive the rest

Dear dirty!! I really want to thank you for all your recommendations!! And all your videos!!! You are such a great teacher...I wish I could have money to pay you, but I don't lol..THANK YOU SO MUCH..God bless you 🤗

Great video.... Thank you very much

Thank so much.

LITERALLY A LIFE SAVER ❤️❤️❤️

in addition to HOCM and MCP, apparently atrial myxomas have the same effect ... learned this from an NBME exam.

Your mnemonic game is pretty sick bro.

you are a genius, thanks for all explications in this video and I hope that more people in medical school will subscribe to your channel.

I passed my step 1. Thank you Dirty medicine you saved a lot of time for me. Your videos are amazing

Great job thanks 🙏🏾

Fantastic explanation -- so obvious now how to determine which murmurs are systolic/diastolic now. Big "oh God duh" movement

I can't even thank u enough for this amazing video..lts really very helpful ❤

Step 1 checked, Step 2 checked, recapping it for Step 3. Dirty, you are the OG & a Genius

Cool. Thanks.

Thank you so much

thank you so much 😘

AMAZING!!!