Murmurs Flashcards
1
Q
When is a murmur significant?
A
- Loud
- associated with a thrill
- maximally heard at a particular valve
- persistent
- associated cardiac disorder/ sign
- diastolic
2
Q
Features of a functional systolic murmur?
A
- grade 3 or less
- louder w/ fever
- louder supine, may disappear w/ valsalva
- split second sound (inspiration)
3
Q
What signs on inspection suggest pulmonary hypertension?
A
- pectus carnatum
- Harrison’s sulcus
- left precordial bulge
- chest asymmetry
4
Q
Are murmurs ever normal?
A
50% of all children will have a functional systolic murmur when febrile, excited or after excersise
