Does Dilated Cardiomyopathy make a specific sound?

Sassafras

Sassafras

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I'm trying to explain what I heard in my narrative upon listening to lung sounds. I normally don't note anything about the heart even though you hear it while auscultating the lungs, unless there is something abnormal like a murmer or something definitely NOT normal. However, this particular patient had a gammut of congenital issues, dilated cardiomyopathy being one of them.

Regardless, when listening to this boy, I can't describe what I heard, just that it was rhythmic, but very different sounding than a normal heart. I want to say murmer, but from murmers I've heard this is different than that...I can't explain what I'm hearing and it's irritating me.
 
Depends on the severity and whether (and how severely) the valves are effected. If the person had a lot of congenital issues, it's possible that there is something wrong with the valves independent of the DCM. Honestly, there's no good way for me to tell you what heard unless you can get a little more specific about what you heard, where you heard it and when you heard it.

BTW, was this kid Downsy?
 
Duchene Muscular Dystrophy.
A lot of issues. On a vent. Almost called my boss in (he's the medic for the co.) but mom was trained in all the equipment so we were a go.

Hmmmm....it sounded wooshy almost like a heart murmer, but normally when I hear a murmer I normally hear skipped beats every now and then. This was steady. It was louder than most murmers I've heard and where I hear an almost under water sound or behind a door (think distant even if loud) when I hear a murmer, this sounded right under the skin almost...it's hard to describe body sounds when you haven't heard them before LOL.

I also heard lung sounds for a ventilator for the first time...that was a bit different too, but not as different as the heart just clear and LOUD. LOL
 
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O.k. I went with the non technical "wooshing sound" in the trip sheet, as much as I hated to do it. I hate non technical terms. They sound so elementary.
 
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