L2: Innocent Murmur Flashcards
Def of Innocent Murmur
- Murmurs that occur in the absence of either anatomic or physiologic abnormalities of the heart or circulation
Criteria of Innocent Murmur
Criteria of Pathological Murmur
Criteria of Pathological Murmur
- Signs
- Abnormal pulses, precordial activity, hepatomegaly
- Non-cardiac anomalies or a malformation syndrome
Criteria of Pathological Murmur
- Heart Sounds
- Abnormalities of S2
- Presence of an associated click
Criteria of Pathological Murmur
- Murmur
Classification of Innocent Murmur
Most Common Innocent Murmur
Left ventricular outflow tract murmur โStillโs murmurโ
Most Common Innocent Murmur in newborns
Physiological pulmonary branch stenosis in the newborn
Management of Innocent Murmur
Specific issues to discuss with parents of children with innocent murmurs
Stillsโs Murmur
- Age
- Cause
- Site
- Radiation
- Character
- Intensity
- Pitch
- Time
- Increase with
- Decrease With
- DDx
Stillsโs Murmur
- Age
- Cause
- Site
- Radiation
- Character
- Intensity
- Pitch
- Time
- Increase with
- Decrease With
- DDx
Pulmonary Outflow Murmur
- Age
- Cause
- Site
- Radiation
- Character
- Intensity
- Pitch
- Time
- Increase with
- Decrease With
- DDx
Pulmonary Outflow Murmur
- Age
- Cause
- Site
- Radiation
- Character
- Intensity
- Pitch
- Time
- Increase with
- Decrease With
- DDx
Physiologic Pulmonary Branch Stenosis Murmur
- Age
- Cause
- Site
- Radiation
- Character
- Intensity
- Pitch
- Time
- Increase with
- Decrease With
- DDx
Pulmonary Outflow Murmur
- Age
- Cause
- Site
- Radiation
- Character
- Intensity
- Pitch
- Time
- Increase with
- Decrease With
- DDx
Arterial Bruit
- Age
- Cause
- Site
- Radiation
- Character
- Intensity
- Pitch
- Time
- Increase with
- Decrease With
- DDx
Arterial Bruit
- Age
- Cause
- Site
- Radiation
- Character
- Intensity
- Pitch
- Time
- Increase with
- Decrease With
- DDx
Venous Hum
- Age
- Cause
- Site
- Radiation
- Character
- Intensity
- Pitch
- Time
- Increase with
- Decrease With
- DDx
Venous Hum
- Age
- Cause
- Site
- Radiation
- Character
- Intensity
- Pitch
- Time
- Increase with
- Decrease With
- DDx