innocent murmer

Question 1

task

Answer 1

203

Question 2

hx

Answer 2

-weight gain
-sob, recurrent infections
-Activity breathlessness
-BINDS
-PMH, FAMILYHX

Question 3

explanation

Answer 3

-cardiacc murmers in young children very common
-in ideal conditions over 50percent 4yr children will have soft murmer

Question 4

examination

Answer 4

-weight
-cyanosis, pallor
MURMER
-soft, no radiation, no palpable thrill
-varies with posture and respirartion
-no diastolic component

Question 5

explanation

Answer 5

-most likely to be an innocent murmur, as is child is active good weight gain
-no investigation warranted
-ct to review the child until murmer disappears until 5-7 years
-if parent not happy>paeditrician>cardiologist>echo