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MR PAN MS RUM AS JECK AR BLOW

  • Writer: Mayta
    Mayta
  • Jan 14, 2024
  • 1 min read

Updated: Feb 14

The mnemonic "MR PAN MS RUM AS JECK AR BLOW" would look like this:

1. MR PAN: Mitral Regurgitation and Pan-systolic

- Mitral Regurgitation (MR): A high-pitched, blowing, holosystolic murmur heard best at the apex and radiating towards the left axilla.

- Pan-systolic: Referring to murmurs, like MR, that occur throughout the entire systole.

2. MS RUM: Mitral Stenosis and Rumbling

- Mitral Stenosis (MS): A low-pitched, rumbling diastolic murmur heard best at the apex with the bell of the stethoscope, particularly in the left lateral decubitus position.

- Rumbling: Describes the sound quality of the MS murmur, which is a low-pitched, rumbling noise.

3. AS JECK: Aortic Stenosis and Ejection Click

- Aortic Stenosis (AS): A harsh, systolic ejection murmur heard best at the right second intercostal space and radiating to the carotids.

- Ejection Click (JECK): A sound often heard with valvular aortic stenosis, characterized by a high-pitched click early in systole.

4. AR BLOW: Aortic Regurgitation and Blowing

- Aortic Regurgitation (AR): A high-pitched, blowing, early diastolic murmur heard best along the left sternal border and at the end of expiration.

- Blowing: Describes the sound quality of the AR murmur, which is a high-pitched, blowing sound.

Understanding these pairings is important for recognizing and differentiating heart murmurs during auscultation, a key skill in cardiac examination.



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Understanding My Medical Context in Thailand

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The medical training environment in Thailand is vastly different from that of Western countries. Our education system heavily emphasizes rote memorization—those who excel are often seen as "walking encyclopedias." Unfortunately, those who question, critically analyze, or solve problems efficiently may sometimes be overlooked, despite having exceptional clinical thinking skills.
 

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