Cardiology Ex
Early on before pulmonary vascular resistance has fallen can be hard to hear murmurs
sometime (T21) PVR never drops, no signs until Eisenmengers
Murmur
Systolic murmur ?septal defect, louder if smaller
Splitting
Loud S2: ?pulmonary hypertension ?VSD
Diastolic murmur ? increased mitral flow ?septal defect with shunt
Blood pressure
Liver
Liver edge below right costal margin = enlargement when
sometime (T21) PVR never drops, no signs until Eisenmengers
Murmur
Systolic murmur ?septal defect, louder if smaller
Splitting
- Physiological
- Paradoxical
- Fixed: septal defect
Loud S2: ?pulmonary hypertension ?VSD
Diastolic murmur ? increased mitral flow ?septal defect with shunt
Blood pressure
Liver
Liver edge below right costal margin = enlargement when
- >3.5 cm in newborns
- >2 cm in children