Murmurs

Question 1

Confused w/ VSD
Commonly heard on 2-7yrs old
Most common benign murmur

Answer 1

Stills murmur

Question 2

Sounds similar to ASD, but S2 normal
Greatest frequency in adolescents 8-14 yrs

Answer 2

Pulmonary ejection

Question 3

Heard best at LUSB
May rádiate to back & axillae
Need to document resolution by 4-5 months to rule out organic cause of valve involvement.
Often heard in preemies, LBW infants & infants up to 4 months of age.
Known as newborn pulmonary flow murmur

Answer 3

Peripheral pulmonic stenosis

Question 4

Confused w/ aortic stenosis murmur

Decreases or diminishes w/ shoulder
hyperextension

Heard ABOVE the R&L clavicle w/ radiation to neck

Common at any age

Answer 4

Supraclavicular bruit

Question 5

Mistaken for PDA

Can be increased by turning child’s head away from side of the murmur

Loudest when sitting

Heard beat below clavicles/ RUSB/ LUSB

Continuos low pitched hum throughout the cardiac cycle

diastolic physiologic murmur

Common in 3-6 yr olds

Answer 5

Venous Hum