Before revision: Types, description and DDx +Benign Paediatric Heart MurmursNameLocationDDxStill's murmurinferior aspect of LLSB (lower left sternal border), systolic ejection sound, vibratory/musical quality subaortic stenosis, small VSDPulmonary ejection superior aspect of LLSB, ejection soundPulmonary stenosis, atrial septal defectVenous humInfraclavicular throughout the cardiac cycle (right side > left side), diminishes with jugular vein palpation or neck turningPDASupraclavicular arterial bruit (Systemic Flow Murmur)Above claviclesaortic stenosis, bicuspid aortic valvePeripheral pulmonary stenosis (Pulmonary flow murmur)High-pitch with radiation to back and armpitPDA, pulmonary stenosis In the adult, hyperdynamic circulation of the blood may also produce a functional murmur, such as in anemia or thyrotoxicosis.
After revision: DiagnosisTypes, description and DDx +Benign Paediatric Heart MurmursNameLocationDDxStill's murmurinferior aspect of LLSB (lower left sternal border), systolic ejection sound, vibratory/musical quality subaortic stenosis, small VSDPulmonary ejection superior aspect of LLSB, ejection soundPulmonary stenosis, atrial septal defectVenous humInfraclavicular throughout the cardiac cycle (right side > left side), diminishes with jugular vein palpation or neck turningPDASupraclavicular arterial bruit (Systemic Flow Murmur)Above claviclesaortic stenosis, bicuspid aortic valvePeripheral pulmonary stenosis (Pulmonary flow murmur)High-pitch with radiation to back and armpitPDA, pulmonary stenosis In the adult, hyperdynamic circulation of the blood may also produce a functional murmur, such as in anemia or thyrotoxicosis.