//fpnotebook.com/
Still's Murmur
Aka: Still's Murmur
- See Also
- Pediatric Murmur
- History
- First described by Dr. George Still (1909)
- Epidemiology
- Common in children ages 2 to 8 years old (peaks age 3 to 6 years)
- Physiology
- Unknown cause
- May be due to the sound of Blood Flowing into aorta, or across the chodae tendinae
- Signs
- Low to medium frequency, mid-systolic murmur
- Intensity: Grade 1-3 of 6 (variable)
- Location: near apex to lower left sternal border
- Character
- Low to medium pitch
- Vibratory, harmonic, musical, twanging, groaning
- Provocative conditions and positions (increased murmur)
- Supine position (decreased with standing)
- Fever
- Anemia
- Differential Diagnosis
- Ventricular Septal Defect
- Left ventricular outflow obstruction
- Hypertrophic Cardiomyopathy
- Course
- Innocent Murmur
- Resources
- Still's Murmur (USMLE Clinic, YouTube)
- https://www.youtube.com/watch?v=_fKtN7orsxg