The Means-Lerman scratch is a mid-systolic murmur heard in the setting of a hyperthyroid ... This is thought to occur from rubbing of the pericardium against the the pleura in the high output ...

“blowing” holosystolic murmur best heard at the apex. Although the direction of radiation of the murmur depends on the nature of the mitral valve disease, it usually radiates to the axill ...