Paeds: Cardiology

Question 1

What are the three main kinds of innocent murmur?

Answer 1

Ejection murmur

Venous hums

Still’s murmur

Question 2

2 year old boy. Soft-blowing murmur in the pulmonary area. May vary with posture. Localised with no radiation. No diastolic component. No thrill. No added sounds (e.g. clicks). Asymptomatic child. No other abnormality. Most likely diagnosis?

Answer 2

Innocent murmmur (Venous Hum)

Question 3

2 year old boy. Short buzzing murmur in the aortic area. May vary with posture. Localised with no radiation. No diastolic component. No thrill. No added sounds (e.g. clicks). Asymptomatic child. No other abnormality. Most likely diagnosis?

Answer 3

Innocent murmur (Ejection murmur)

Question 4

A 6-week-old term infant has difficulty feeding due to increased work of breathing. As the on-call doctor, you are called to review this baby. You witness the baby feeding and note she is pink and well perfused but sweating with an increased respiratory rate. On examination, you hear a soft pan-systolic murmur at the lower left sternal border.

What is the most likely underlying pathology?

Answer 4

Heart Failure

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