MURMURS Flashcards
IF a child has a split S2 with crescendo-decrescendo murmur that doesn’t vary with respirations – what is it?
ASD
What murmur of children is a harsh holosystolic murmur heard at the left sternal borders and involves a right to left shunt?
Tetralogy of fallot
What is the MC congenital heart defect that involves a harsh, pansystolic murmur heard best at the left sternal border in the 3rd & 4th intercostal spaces?
VSD
What murmur involves a continuous machinery murmur that’s loudest in the pulmonic area with a widened pulse pressure?
PDA
How do you treat PDA?
IV indomethacin
What systolic murmur radiates to the back/scapula/chest and involves weak femoral pulses? What other diagnostic can you do, what would you see?
Coarctation of the aorta
Chest XR with increased collateral circulation and a “3 sign”
What murmur gets louder with standing from a squat or Valsalva?
Mitral valve prolapse
What are the 2 diastolic murmurs?
Mitral stenosis & Aortic regurg
What 3 murmurs cause a holosystolic sound?
Mitral regurg, tricuspid regurg, and VSD
A murmur that is blowing holosystolic that radiates to the axilla – dx?
Mitral regurg
What murmur is often associated with rheumatic heart disease?
Mitral regurg
What murmur has an opening snap followed by a low diastolic rumble – heard best in the left lateral decubitus position with the bell?
Mitral stenosis
What murmur has a mid to late systolic click heard best when standing from a squat?
Mitral valve prolapse
What murmur is blowing holosystolic, heard best at the left sternal border and on inspiration?
Tricuspid regurg
What murmur is a diastolic blowing decrescendo heard best at the left sternal border while sitting, leaning forward, and exhale with a hold?
Aortic regurg
