Paediatric cardiac murmur
Patient (condition)
 
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Topic aliases are alternate phrasings for a particular topic.


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Need to differentiate between innocent murmur vs pathological murmur.

HISTORY
Functional capacity
Failure to thrive
SOB

EXAMINATION
- Innocent -
Soft
Systolic
No radiation
No thrill
No heave
Decreases in intensity when patient stands

- Sinister -
Loud
Diastolic more concerning
Radiating/Widespread
Heave
Thrill
Radiofemoral delay

INVESTIGATION
Cardiology consult
TTE

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Good summary from AAFP
www.aafp.org/afp/1999/080...

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