What are the different murmur types and clinical findings in different valve lesions?

Condition	Pulse	Apex beat	Heart sounds	Murmur timing	Murmur site	Murmur radiation	Peripheral features
Aortic stenosis	Slow-rising, small volume	Pressure loaded	A2 , 4+	Ejection systolic	Aortic area	Carotids	Narrow pulse pressure
Mitral regurgitation	+/- Atrial fibrillation	Volume loaded	P2 , 3+	Pan-systolic	Apex	Axilla	RVHeave
Aortic regurgitation	Collapsing, large volume	Volume loaded	A2 , 3+	Early diastolic	Lower left sternal edge	Apex if severe	Wide pulse pressure
Mitral stenosis	Small volume, +/- atrial fibrillation	Tapping	S1 , P2 , opening snap	Mid-late diastolic	Apex	Axilla	Malar flush, RV heave
Tricuspid regurgitation	Normal	Normal	Normal	Pan-systolic	Tricuspid area	Nil	Raised JVP, ascites, Peripheral oedema,pulsatile liver

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