Paeds cardio other Flashcards
What are the benign murmurs heard in children
Still’s murmur
Venous hum
Pulmonary flow murmur
What are the 6 S of innocent murmurs in children
Soft
Systolic
Short
Sounds (S1/S2)
Symptomless
Standing/sitting (varies with position)
Describe still’s murmur
Most common
Commonly in school-aged children
Low pitched sound on the lower left sternal edge
Describe a venous hum
Continuous blowing sound heard below BOTH clavicles
Due to turbulent blood flow in the great veins above the heart
Abolished by pressing the ipsilateral jugular or lying down
Describe pulmonary flow murmurs
Upper left sternal border
Common in older children/teens
Name the condition for each of these risk factors:
Alcohol exposure in utero
Congenital rubella
Down’s syndrome
Maternal diabetes
In-utero lithium exposure
Turner’s syndrome
DiGeorge syndrome
Alcohol exposure in utero - VSD, ASD, PDA, ToF
Congenital rubella - PDA
Down’s syndrome - AVSD, VSD, ASD
Maternal diabetes - TGA, VSD
In-utero lithium exposure - Ebstein’s
Turner’s syndrome - Bicuspid aortic valve, Coarctation of the aorta
DiGeorge syndrome - Truncus arteriosus, ToF
Name the condition for the following murmurs:
No murmur (loud S2 + prominent RV impulse)
Harsh ejection systolic murmur
Ejection systolic murmur (LUSB) + prominent apical impulse
Pansystolic murmur + mid-diastolic murmur
Pansystolic murmur
Ejection systolic murmur (fixed wide S2 split)
Ejection systolic (heard at the back) + radio-femoral delay
Machinery gun continuous
No murmur (loud S2 + prominent RV impulse): TGA
Harsh ejection systolic murmur: ToF
Ejection systolic murmur (LUSB) + prominent apical impulse: Tricuspid atresia
Pansystolic murmur + mid-diastolic murmur: Ebstein’s anomaly
Pansystolic murmur: VSD
Ejection systolic murmur (fixed wide S2 split): ASD
Ejection systolic (heard at the back) + radio-femoral delay: CoA
Machinery gun continuous: PDA
