CV Cases

Question 1

Heart sounds: Pulmonary stenosis with tetralogy of fallot

Answer 1

severe sx; will have holosystolic murmur at LLSB and long systolic ejection murmur at ULSB with a thrill

Question 2

Heart sounds: VSD

Answer 2

small defects have a loud holosystolic murmur at LLSB

Question 3

Heart sounds: hypoplastic left heart syndrome and order an echocardiogram

Answer 3

hyperdynamic precordium; single S2; nonspecific grade systolic ejection murmur along left sternal border

Question 4

Heart sounds: Stills (innocent murmur)

Answer 4

soft single murmur of short duration during systole LLSB that is prominent when supine

Question 5

Heart sounds: PDA

Answer 5

continuous murmur at ULSB

Question 6

Seven S’s of innocent murmurs

Answer 6

Sensitive (changes with child’s position or with respiration)
Short duration (not holosystolic)
Single (no associated chicks or gallops)
Small (murmur limited to a small area and nonradiating)
Soft (low amplitude)
Sweet (not harsh sounding)
Systolic (occurs during and is limited to systole)