Murmur In Child

Question 1

Paeds cardio assessment, don’t forget what?

Answer 1

Carefully assess the femoral pulses re: coarctation

Question 2

Cardiac position in kids?

Answer 2

May be reversed

Question 3

Innocent heart murmur is??

Answer 3

Non pathological

30-70%

Question 4

Pathophysiology of innocent murmurs?

Answer 4

No consensus
Outflow tract turbulence
Aortic arch turbulence
Vibration around ventricular bands
Just have think chest walls

Question 5

Describe innocent heart murmurs.

Answer 5

Never in diastole
Early ejection systolic
Vary with position

Question 6

Most common innocent murmur?

Answer 6

Still’s
Pre-school aged kids common
Maximal LLSE

Question 7

Pulmonary flow murmur DDx?

Answer 7

Same as pulmonary valve stenosis, harder to rule out

Question 8

What is a branch pulmonary stenosis? Who gets it?

Answer 8

Infants

Question 9

Venous hum is?

Answer 9

Louder when erect
Low pitch continuous murmur
Louder on right side of neck
Turbulence at SVC

Question 10

What pathological continuous hum?

Answer 10

PDA

Question 11

Innocent murmurs are louder with?

Answer 11

Inspiration

Squatting

Question 12

When to refer to paeds cardiologist?

Answer 12

If

Question 13

When to refer to cardiologist?

Answer 13

If upper sternal border
Added sounds, clicks
Pan systolic
Intensity greater than '3'
Child is

Question 14

Most common cause of cyanosis in a neonate?

Answer 14

Transposition of great arteries

Question 15

VSD volume load what?

Answer 15

The Left heart

Question 16

VSD management?

Answer 16

Meds: diuretics, ACEi (decrease systemic vascular resistance)
Surg: close it, per cutaneous/catheter

Question 17

ASD cause symptoms when?

Answer 17

Not in childhood.

Mild symptoms if any

Question 18

ASD volume loads what?

Answer 18

Right heart

Question 19

Where do you get a fixed splitting S2?

Answer 19

ASD

Question 20

ASD

Answer 20

Ejection systolic murmur in pulmonary area

Fixed S2 splitting (no variation with breathing)

Question 21

Dx sign of coarctation?

Answer 21

Weak femoral pulses