DR. NISHEETH M PATEL3 R D YEAR RESIDENT

M.D MEDICINE

Differential Diagnosis ofcardiac murmurs

D/D of systolic murmurs

At apex

Early systolic murmrur

MR: PMD/PMR ruptured chorda tendinaeTRVSDRheumatic Carditis

Acute MRVSD small muscular part Ventricular aneurysm

Pansystolic murmur

MVP

Late systolic murmur

Approach to Pansystolic murmur

D/D of systolic murmurs

Left parasternal (3rd and 4th IC space)

Mid systolic murmur

MR with post cusp involvement ASD septum primumVSD

PS infundibular HOCM Innocent murmurs Transmittd murmurs

Hyperdynamic circulation

ASDValvular PSTOF

Pansystolic murmur

D/D of systolic murmurs

Pulmonary area

Continuous murmur

ASHOCMSevere AR with ASSclerosed AoVAo root dilatationCoarctation of AoAorititis

PDA with pulmonary HTN

Midsystolic murmur

Hyperdynamic circulaitonPS valvualrASD secundumTOFPulm HTN d/t MS ,COPD or primary

Mid systolic murmur

Aortic Area

D/D of Diastolic murmurs

At Apical area

ARAneurysm of ascending Aorta

Early diastolic murmur

MSSevere MRAustin flint murmur of ARCarey Coombs murmurLA myxoma

Mid diastolic murmur

Pulmonary area Aortic Area

early diastolic murmur

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