Grade III murmur Innocent or Pathologic? - USMLE Forums
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Old 07-03-2012
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Stethoscope Grade III murmur Innocent or Pathologic?

while KLN in pedo says grade III is pathologic Kqbank says it is physiologic .
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Old 07-03-2012
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i'd go with pathologic.

however also depends on symptoms present or not.
and over all case presentation.
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Old 07-03-2012
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Limit is a grade II murmur, grade III i would check only if symptomatic
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Quote:
Originally Posted by tyagee View Post
while KLN in pedo says grade III is pathologic Kqbank says it is physiologic .
Depends on the nature of the murmur as well as type (systolic/diastolic etc) and symptoms.
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Old 07-06-2012
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Innocent murmurs ALWAYS less than grade II and ALWAYS systolic!
look for associated conditions like age 3-7 yrs, fever, anxiety etc
For Venous hum- constant murmur that disappears with 'compression of jugular veins'
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