Innocent Murmurs Flashcards
1
Q
What is another name for an innocent murmur?
A
Flow Murmur
2
Q
What are innocent murmurs due to?
A
Fast blood flow through various areas of the heart during systole.
3
Q
How do innocent murmurs present?
A
- Soft
- Short
- Systolic
- Symptomless
- Situation dependent
4
Q
How are innocent murmurs affected by situation?
A
Murmur gets quieter with standing
Only appears when the child is unwell or feverish
5
Q
What investigations would you do for a clear innocent murmurs with no concerning features?
A
No investigations
6
Q
Which features that would prompt further investigations and referral to a paediatric cardiologist?
A
- Murmur louder than 2/6
- Diastolic murmurs
- Louder on standing
7
Q
What symptoms would prompt further investigations and referral to a paediatric cardiologist?
A
failure to thrive
feeding difficulty
cyanosis
shortness of breath
8
Q
What are the key investigations to rule out any pathology or defects?
A
- ECG
- Chest Xray
- Echocardiography
