Murmurs

Question 1

Soft systolic murmur, left stern alone edge, asymptomatic patient, positional, no radiation

Answer 1

Innocent ejection murmur

Question 2

Signs and symptoms of heart failure

Answer 2

Breathless on feeding, sweating, poor feeding, poor weight gain, tachycardia, tachypnoea, cardiomegaly, hepatomegaly, oedema, cool peripheries, heart murmur,

Question 3

Ejection systolic murmur, upper left sternal edge, fixed and widely split second heart sound

Answer 3

ASD

Question 4

Management of ASDs

Answer 4

If large:
Secunudum - catheter device closure at 3-5 years
pAVSD - surgery at 3 years

Question 5

loud pansystolic murmur, lower left sternal edge

Answer 5

Small VSD - asymptomatic, no management required

Question 6

Continuous murmur beneath left clavicle (upper left sternal edge) +/- bounding pulses

Answer 6

PDA

Question 7

Management of PDA

Answer 7

Closure using catheter occlusion device at 1 year of age to reduce risk of bacterial endocarditis and pul vascular disease

Question 8

Harsh systolic murmur, single heart sound

Answer 8

TOF