Joined
·
21 Posts
A six year old girl comes to your office for her annual check up. On physical examination, you note a normal S1 and S2 as well as a soft systolic murmur with a vibratory character, heard best over the right upper sternal border. You suspect an innocent murmur, but her mother asks if she should be referred to a cardiologist.
Each of the following findings would support the diagnosis of a pathological murmur EXCEPT:
A. the murmur occurs in diastole
B. the murmur is associated with a thrill
C. the murmur is louder in the supine position and softer when the child sits upright
D. the child has mild finger clubbing
E. there is a loud P2 component of the second heart sound
????
Each of the following findings would support the diagnosis of a pathological murmur EXCEPT:
A. the murmur occurs in diastole
B. the murmur is associated with a thrill
C. the murmur is louder in the supine position and softer when the child sits upright
D. the child has mild finger clubbing
E. there is a loud P2 component of the second heart sound
????
