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Peds Cardiology

Innocent Murmurs

Still's Murmur Most common innocent childhood murmur.<br> LLSB/ apex<br> vibratory musical frequency systolic ejection flow murmur<br> louder with exercise, excitement, fever,<br> decreases with inspiration and upright position
Cervical Venous Hum Confused with PDA<br> low frequency, continuous (only benign murmur through diastole)<br> UR/UL sternal borders just below the clavicles<br> increased intensity with head turned away from side of the murmur<br> turbulent though the jugular V.
Pulmonary Ejection Flow murmur Confused with ASD<br> high frequency systolic ejection, diamond shaped<br> 2nd LICS
Peripheral Pulmonic Stenosis LUSB, Axilla or back<br> newborns<br> resolution by 4 mos.<br> with click - true pulmonic stenosis.<br> branch point pulmonary As
Vs. ASD Increased precordial activity<br> 2nd heart sound widely split and fixed<br> flow at ULSB<br> does not change with standing
Created by: gilmorer