systolic murmurs

one of the common problems in the cardiology station is confusion regarding the systolic murmur.is is MR or AS?!! or may be VSD?
practicing is the only way.
here is a reminder:


click to enlarge


remember:
*practice,lestin to as many as you can.
*try to diagnose the valve lesion before you apply your stethoscope-attention to pulse character, BP loction of the apex.
*character of the murmur often more useful than its location.
*if you have no clue what is the diagnosis, describe your findings, you can still gain some points.

try to identify the systolic murmurs below!