(mnemonic: MITRAL STENOSIS)
-
Mid-diastolic murmur
-
Thickened fibrotic valve
- soft
rumbling sound (heard with bell of stethoscope)
- at the
apex
-
left
lateral decubitus position
- enhanced by
str
enuous activity
- preceded by
opening
snap
- followed by pre-
sy(i)stolic accentuation (late-diastolic murmur)