Approach to murmur
Download as PPTX, PDF21 likes3,278 views
This document provides a differential diagnosis for various types of cardiac murmurs based on location and timing. It lists potential causes of early, mid, and late systolic murmurs at the apex, left parasternal area, pulmonary area, and aortic area. Causes include various valvular regurgitations and stenoses, septal defects, patent ductus arteriosus, coarctation of the aorta, and other structural issues. Diastolic murmurs are also differentiated based on timing and location, with listed potential causes like mitral stenosis, aortic regurgitation, and pulmonary regurgitation. The document serves as a guide for physicians to consider possible diagnoses when evaluating patients with cardiac murmurs.
Approach to murmur
- 1. D R . N I S H E E T H M P A T E L 3 R D Y E A R R E S I D E N T M . D M E D I C I N E Differential Diagnosis of cardiac murmurs
- 2. D/D of systolic murmurs At apex Early systolic murmrur MR: PMD/PMR ruptured chorda tendinae TR VSD Rheumatic Carditis Acute MR VSD small muscular part Ventricular aneurysm Pansystolic murmur MVP Late systolic murmur
- 3. Approach to Pansystolic murmur
- 4. D/D of systolic murmurs Left parasternal (3rd and 4th IC space) Mid systolic murmur MR with post cusp involvement ASD septum primum VSD PS infundibular HOCM Innocent murmurs Transmittd murmurs Hyperdynamic circulation ASD Valvular PS TOF Pansystolic murmur
- 5. D/D of systolic murmurs Pulmonary area Continuous murmur AS HOCM Severe AR with AS Sclerosed AoV Ao root dilatation Coarctation of Ao Aorititis PDA with pulmonary HTN Midsystolic murmur Hyperdynamic circulaiton PS valvualr ASD secundum TOF Pulm HTN d/t MS ,COPD or primary Mid systolic murmur Aortic Area
- 6. D/D of Diastolic murmurs At Apical area AR Aneurysm of ascending Aorta Early diastolic murmur MS Severe MR Austin flint murmur of AR Carey Coombs murmur LA myxoma Mid diastolic murmur Pulmonary area Aortic Area early diastolic murmur PR
- 7. THANK YOU