Paediatric cardiology Flashcards

1
Q

The 5S of innocent murmurs/flow murmurs

A
Soft
Short 
Systolic
Symptomless
Situation dependent
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2
Q

What features of murmurs prompt referral to paediatric cardiologist for further investigation?

A

Murmur louder than 2/6
Diastolic murmurs
Louder on standing
Symptoms e.g. failure to thrive, feeding difficulty, cyanosis, SOB

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3
Q

Investigations in childhood murmur

A

ECG
Chest X-Ray
Echo

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4
Q

Pan-systolic murmur heard loudest at the 5th intercostal space, mid-clavicular line

A

Mitral regurgitation

5th intercostal space, mid-clavicular line = mitral area

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5
Q

Pan-systolic murmur heard loudest at the 5th intercostal space, left sternal border

A

Tricuspid regurgitation

5th intercostal space, left sternal border - tricuspid area

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