Exam

Pulmonary Flow Murmur

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Pulmonary Flow Murmur

  • See Also
  • Epidemiology
  1. Ages affected: School age to adolescence
  • Signs
  1. Intensity: Grade I-II of VI murmur
  2. Soft, early to mid-Systolic Murmur at left upper sternal border (between 2nd and 3rd ribs)
  3. Crescendo-Decrescendo murmur
  4. Increased murmur in high output states
  5. Loudest when supine and decreased when upright or during breath holding
  • Differential Diagnosis
  1. Atrial Septal Defect (ASD)
  2. Pulmonic stenosis
  • Course
  1. Innocent murmur