Means-Lerman scratch

The Means-Lerman scratch is an uncommon type of heart murmur which occurs in patients with hyperthyroidism. It is a mid-systolic scratching sound best heard over the upper part of the sternum or second left intercostal space at the end of expiration.^[1] The murmur results from the rubbing of the pericardium against the pleura in the context of hyperdynamic circulation and tachycardia,^[2] and may mimic the sound of a pericardial rub.^[3]

The sign was described by J. Lerman M.D. and J. H. Means M.D. of Massachusetts General Hospital in 1932.^[4]

References

1. ^ Williams, Mark E (2007). "15. The Cardiovascular System". Geriatric physical diagnosis: a guide to observation and assessment (illustrated ed.). McFarland. p. 175. ISBN 9780786430093. 
2. ^ Recognizing Thyroid Storm in the Neurologically Impaired Patient: Pathophysiology at Medscape
3. ^ Fadel BM, Ellahham S, Ringel MD, Lindsay J, Wartofsky L, Burman KD (June 2000). "Hyperthyroid heart disease". Clin Cardiol 23 (6): 402–8. PMID 10875028. http://www.uthsc.edu/cardiology/articles/Hyperthyroid%20Heart%20Dz%20review.pdf. 
4. ^ "Cardiovascular symptomatology in exophthalmic goiter". Am Heart J 8 (1): 55–65. October 1932. doi:10.1016/S0002-8703(32)90027-1. 

This medical sign article is a stub. You can help Wikipedia by expanding it.v · Categories: Heart murmurs Medical sign stubs Wikimedia Foundation. 2010. Игры ⚽ Поможем написать реферат Meanook, Alberta Means by Which the End Is Justified Look at other dictionaries: Means-Lerman scratch — a systolic grating sound heard in the second left intercostal space during exhalation in hypertension, caused by friction between the pleural and pericardial surfaces …   Medical dictionary DANCE — In Ancient Israel In the Bible, Mishnah, and Talmud, dance is referred to in various contexts as an important ritualized activity and as an expression of joy. None of these references, however, contain descriptions of how the dancers actually… …   Encyclopedia of Judaism CHILDREN'S LITERATURE — This entry is arranged according to the following outline: introduction CHILDREN S LITERATURE IN HEBREW early period …   Encyclopedia of Judaism 18+ © Academic, 2000-2024 Contact us: Technical Support, Advertising Dictionaries export, created on PHP, Joomla, Drupal, WordPress, MODx. Mark and share Search through all dictionaries Translate… Search Internet Share the article and excerpts Direct link … Do a right-click on the link above and select “Copy Link”