58:
that is primarily due to physiologic conditions outside the heart, as opposed to structural defects in the heart itself. Serious conditions can arise even in the absence of a primary heart defect, and it is possible for peripheral conditions to generate abnormalities in the heart. Therefore, caution
33:
86:
such as dyspnea on exertion. (In infants, ask if the baby cries during feeding, becomes diaphoretic, or develops a rapid respiratory rate. In older children, this can be elucidated by asking whether or not the child can keep up with peers during
31:
32:
276:
90:
Occurs during systole or continuously during both systole and diastole. (Murmurs occurring only during diastole are usually pathologic, but can also be heard during hyperdynamic states.)
470:
400:
463:
34:
456:
76:
Soft, less than 3/6 in intensity (although note that even when structural heart disease is present, intensity does not predict severity.)
93:
Physiologic splitting of S2 (A2 and P2 components should only be resolvable during inspiration and should merge during expiration.)
832:
59:
should be applied to use of the terms "innocent" or "benign" in this context.Use of the term dates to the mid 19th century.
281:
435:
17:
674:
838:
857:
295:
448:
136:
inferior aspect of LLSB (lower left sternal border), systolic ejection sound, vibratory/musical quality
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Functional murmurs are an important consideration in the precordial examination of an infant or child.
774:
257:
218:
In the adult, hyperdynamic circulation of the blood may also produce a functional murmur, such as in
140:
209:
173:
38:
Heart sounds of a healthy human female with a functional or "innocent" heart murmur after exercise.
852:
951:
769:
574:
252:
124:
79:
Often position-dependent. Murmurs heard while supine and may disappear when upright or sitting.
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193:
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8:
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170:(right side > left side), diminishes with jugular vein palpation or neck turning
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912:
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816:
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628:
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No palpable thrill (A thrill is a vibration caused by turbulent blood flow.)
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Otherwise healthy individual, no concerns about growth, no symptoms of
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Innocent murmurs are inconsequential and usually disappear as the
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Heart
Murmurs in Pediatric Patients: When Do You Refer?
421:
http://circ.ahajournals.org/cgi/content/full/111/3/e20
296:"The functional murmur: the laying to rest of a ghost"
200:
Peripheral pulmonary stenosis (Pulmonary flow murmur)
180:
Supraclavicular arterial bruit (Systemic Flow Murmur)
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464:
353:"Genesis of Still's innocent systolic murmur"
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471:
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344:
293:
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150:superior aspect of LLSB, ejection sound
29:
14:
944:
419:6. Circulation 2005: Innocent Murmurs
238:grows. ECG and Chest XRAY are normal.
203:High-pitch with radiation to back and
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24:
25:
968:
426:
105:
166:Infraclavicular throughout the
112:Benign Paediatric Heart Murmurs
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326:
270:
13:
1:
263:
63:Benign pediatric heart murmur
282:Dorland's Medical Dictionary
229:
100:
7:
241:
10:
973:
351:Joffe HS (February 1992).
139:subaortic stenosis, small
775:Precordial catch syndrome
757:
693:
675:Cheyne–Stokes respiration
657:
599:
590:
490:
258:Ventricular septal defect
401:"Innocent Heart Murmurs"
858:Charcot–Leyden crystals
294:LUISADA AA (May 1955).
575:Whispered pectoriloquy
369:10.1136/hrt.67.2.206-b
312:10.1378/chest.27.5.579
253:Precordial examination
39:
341:. 2005; 111: e20-e22.
332:Thomas Biancaniello.
212:, pulmonary stenosis
194:bicuspid aortic valve
37:
853:Curschmann's spirals
701:Respiratory distress
540:Pleural friction rub
155:atrial septal defect
153:Pulmonary stenosis,
27:Type of heart murmur
277:"functional murmur"
147:Pulmonary ejection
114:
894:pulmonary embolism
866:chronic bronchitis
706:Respiratory arrest
685:Ataxic respiration
680:Kussmaul breathing
670:Biot's respiration
665:Agonal respiration
561:Elicited findings
505:Respiratory sounds
484:respiratory system
480:Signs and symptoms
438:2010-02-10 at the
110:
52:physiologic murmur
40:
939:
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753:
752:
216:
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44:functional murmur
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16:(Redirected from
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624:Hyperventilation
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482:relating to the
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334:Innocent Murmurs
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21:
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967:
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940:
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913:pulmonary edema
905:Westermark sign
822:Post-nasal drip
817:Silhouette sign
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740:Mouth breathing
689:
653:
629:Hypoventilation
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440:Wayback Machine
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190:aortic stenosis
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48:innocent murmur
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28:
23:
22:
18:Innocent murmur
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12:
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5:
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735:Breath holding
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427:External links
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224:thyrotoxicosis
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187:
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132:Still's murmur
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106:Types, and DDx
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26:
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4:
3:
2:
969:
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952:Heart murmurs
950:
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932:
931:Golden S sign
929:
927:
926:Hamman's sign
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839:Hoover's sign
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787:Nail clubbing
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306:(5): 579–81.
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168:cardiac cycle
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84:heart failure
81:
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68:
60:
57:
53:
49:
45:
19:
919:Kerley lines
911:
900:Hampton hump
892:
878:
864:
845:
831:
570:Pectoriloquy
555:Death rattle
550:Bronchophony
492:Auscultation
404:. Retrieved
395:
360:
356:
346:
336:
328:
303:
299:
289:
280:
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248:Heart murmur
233:
217:
111:
71:Presentation
66:
56:heart murmur
51:
47:
43:
41:
880:sarcoidosis
770:In children
612:Prematurity
500:Stethoscope
338:Circulation
957:Pediatrics
946:Categories
886:Kveim test
872:Reid index
807:Hemoptysis
765:Chest pain
725:Aerophagia
565:Percussion
363:(2): 206.
357:Br Heart J
264:References
162:Venous hum
812:Epistaxis
720:Trepopnea
715:Platypnea
711:Orthopnea
649:Bradypnea
639:Tachypnea
634:Hyperpnea
592:Breathing
300:Dis Chest
230:Prognosis
185:clavicles
121:Location
101:Diagnosis
792:Cyanosis
780:Pleurisy
730:Asphyxia
644:Hypopnea
580:Egophony
545:Fremitus
520:Crackles
436:Archived
320:14365576
242:See also
745:Snoring
658:Pattern
619:Dyspnea
530:Stertor
525:Rhonchi
510:Stridor
406:Jan 11,
387:1540448
378:1024759
54:) is a
847:asthma
827:Hiccup
802:Sputum
535:Squawk
515:Wheeze
385:
375:
318:
220:anemia
205:armpit
183:Above
87:play.)
797:Cough
758:Other
694:Other
607:Apnea
236:child
118:Name
833:COPD
600:Rate
444:AAFP
408:2016
383:PMID
316:PMID
373:PMC
365:doi
308:doi
279:at
222:or
210:PDA
174:PDA
141:VSD
125:DDx
948::
442:-
381:.
371:.
361:67
359:.
355:.
314:.
304:27
302:.
298:.
226:.
192:,
50:,
42:A
713:/
472:e
465:t
458:v
410:.
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367::
322:.
310::
46:(
20:)
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