Extractions: This Article Extract Full Text (PDF) P ... Citation Map Services E-mail this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Download to citation manager PubMed PubMed Citation Articles by Sapin, S. O. Related Collections Office Practice PEDIATRICS Vol. 99 No. 4 April 1997, pp. 616-618 EXPERIENCE AND REASON: References A logic-based mnemonic for the auscultory diagnosis of nonpathologic murmurs, which I developed for teaching medical students and house staff, is presented with the hope of improving the auscultatory skills of primary care pediatric practitioners. The objective is positive identification of nonpathologic murmurs rather than diagnosis by exclusion. The auscultatory features of these murmurs are largely determined by their causative mechanisms. The logic, therefore, is based on an understanding of these mechanisms so
Murmurs Of The Heart Discussion by Daniel J. Waters, D.O., FCCP on the causes and diagnosing of this disorder. http://www.mcclinic.com/MCC/murmurs.htm
Extractions: Murmurs of the Heart A heart murmur is a sound produced as blood flows through the chambers and large blood vessels of the heart during the cardiac cycle of contraction and relaxation. Some murmurs are benign or harmless and are more of a finding than a condition. A benign murmur is not associated with any significant underlying abnormality of the heart or its vessels. Many young people can have benign flow murmurs and still have normal cardiac structure and function. A pathologic heart murmur is one associated with a structural or functional abnormality of the heart. Most murmurs are produced as blood flows past the cardiac valves, which separate the chambers of the heart, or through the valves that lead to the great vessels of the lungs and the systemic circulation. If the flow is excessive or turbulent, a murmur may be manifest. Blood flowing through a tight valve will produce a murmur. Blood that is leaking back across an improperly sealing valve also can cause a murmur. Occasionally, abnormal communications (holes) between chambers of the heart can result in the presence of a murmur. Diagnosing a heart murmur begins with auscultation of (listening to) the heart-usually with a stethoscope. The location, quality, pitch and variation in the sound are all important clues to whether the murmur is benign or pathologic. One of the most useful tests in evaluating a murmur is an echocardiogram. This is a sound wave test that produces a real-time image of the beating heart and is very good in assessing the status and function of the cardiac valves and chambers. Sometimes further studies, such as cardiac catheterization, will be required to further track down the specific abnormality and its significance, and to determine which cases will require treatment.
HeartLab: FamilyPractice.com Provides text and icons to illustrate examination technique, describing both chest locations and patient maneuvers that are usually best to identify particular physical findings. Users can select the listening location to hear (simulated) normal and abnormal heart sounds and murmurs. Requires that Java and JavaScript be enabled. http://www.familypractice.com/heartlab/heartlab.htm
Hearing Aid For Doctors Stethtron electronic stethoscope provides powerful amplification of heart sounds, murmurs, respiration sounds, and easier ausculation diagnosis. http://hearing-aid.tripod.com
Extractions: b) Doctors who use a Hearing-Aid to compensate for mild to high neuro-sensory hearing loss. With the hearing-aid, they are able to listen and manage normal conversation ; but are unable to use the conventional stethoscope, which is so essential in their medical practice. Stethtron has a built-in miniature amplifier that gives 10 times the amplification of the conventional stethoscope. The volume can be adjusted by a graduated potentiometer. It uses an electronic Filter switch to differentiate sounds of variable pitch and special noise-reduction circuitry to minimize external noise.
Extractions: A plea to help the homeless and victims of domestic abuse fills "Love Is All We Need." The power of love is also preached on "One Heart," "Coulda Woulda Shoulda," "I Know What Love Is," "Have You Ever Been in Love" and "Sorry for Love (2003 Version)." Dion is thrilled that, in spite of her faults, her man loves her anyway ("Faith"). She promises a guy who has been deeply wounded that she will comfort and support him ("Stand By Your Side"). Three love songs cross into sexual territory. The married singer describes an all-night romp on "Naked" ("So naked with you/Feels like the first time ... Take me wherever you want to, baby"). "Reveal" shares intimate details of overflowing ecstasy. She recalls a feverish trek for sexual gratification on "I Drove All Night" ("Woke you from your sleep to make love to you/Is that all right"). For the most part
McGill Virtual Stethoscope Project Listen to heart sounds, murmurs, breath sounds, and visualize them with spectra and shockwave animations. http://sprojects.mmi.mcgill.ca/mvs/mvsteth.htm
Extractions: Sorry, You are using an incompatible browser which does not support frames. You need Microsoft Internet Explorer 4.0 or or better to properly view the McGill Virtual Stethoscope. Older browsers are not guaranteed to be able to play sounds or Shockwave animations. Requirements also include a sound card and speakers or headphones, and Apple's Quicktime plugin and Macromedia's Shockwave plugin. The minimum system requirements are usually met by a multimedia-compliant Intel-486 based PC (66MHz, 24MB RAM) machine running Windows 95 with Direct-X 6.0, or a 68030-based Macintosh running System 7 with 16MB RAM. It is also recommended, but not necessary, that your computer support 800x600 resolution and 16-bit color (>32,000 colors, possible with 1 or 2MB of video card RAM).
Apical Thrust Examination of valve murmurs. Detailed topics such as characteristics, timing, severity, causes and management. http://www.fpnotebook.com/CV82.htm
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Common Heart Sounds Fred Leong M.D looks at common heart sounds and murmurs in infants, innocent murmurs, pathologic murmurs, and diastolic continuous murmurs. Audio as well to hear the heart sounds. http://www.rain.org/~landon/Heartweb/index.html
Health & Wellness Info From WWW.bcbsga.com Provides an overview of murmurs of the heart, discussing what it is, are they serious, and how they are treated. http://www.bcbsga.com/healthWellness/articles/wellAware/art_WA_010.htm
Extractions: What Are Heart Murmurs? A heart murmur is an extra sound made by blood flowing through the heart valves in the different chambers of your heart. Normally, the heartbeat makes a "lubb-dupp" sound. The "lubb" occurs during systole with closure of the valves separating the upper and lower parts of your heart (the atria and the ventricles respectively). The "dupp" is heard during diastole when the valves close between the ventricles and the large blood vessels (aorta and pulmonary artery) that receive blood from the heart. often a "swish" sound occurs somewhere during the "lubb-dupp" of the normal heartbeat. With his or her training and experience in evaluating heart murmurs, by listening carefully to the timing and characteristics of the extra sound, your physician often can tell whether it represents a potentially serious problem.
Heart Murmur, What Is, NHLBI DCI A heart murmur is an extra or unusual sound heard during your heartbeat. murmurs range from very faint to very loud and sometimes sound like a whooshing or http://www.nhlbi.nih.gov/health/dci/Diseases/heartmurmur/hmurmur_what.html
Extractions: What Is ... Other Names How the Heart Works Causes ... Links A heart murmur is an extra or unusual sound heard during your heartbeat. Murmurs range from very faint to very loud and sometimes sound like a whooshing or swishing noise. Normal heartbeat sounds"lub-DUPP" or "lub-DUB"are the sounds of valves closing as blood moves through the heart. (Go to the section on " How the Heart Works " for more information about how the normal heart works.) A heart murmur is not a disease; it is a sound that the doctor hears with the stethoscope. It may be normal for your child, or it could be a sign that something may be wrong. Most heart murmurs are harmless. Some are a sign of a heart problem, especially if other signs or symptoms of a heart problem are present. Innocent (harmless) murmurs . A person with an innocent murmur has a normal heart and usually has no other symptoms or signs of a heart problem. Innocent murmurs are common in healthy children. Abnormal murmurs . A person with an abnormal murmur usually has other signs or symptoms of a heart problem. Most abnormal murmurs in children are due to congenital heart disease heart defects present at birth. In adults, abnormal murmurs are most often due to heart valve problems caused by infection, disease, or aging.
Murmurs And Heart Sounds In Children - Patient UK murmurs And heart Sounds In Children Patient UK. A directory of UK health, disease, illness and related medical websites that provide patient information. http://www.patient.co.uk/showdoc/40001956/
Extractions: PatientPlus articles are written for doctors and so the language can be technical. However, some people find that they add depth to the articles found in the other sections of this website which are written for non-medical people. Factfile 10/2001 Heart Murmurs in Children Although a heart murmur is an important presenting feature of a cardiac disorder in infancy and childhood, innocent murmurs are very common, occurring in up to 80% of children at some time or other. These murmurs are frequently detected during a febrile illness and are also exacerbated by nervousness or on exercise. It is important to distinguish between innocent and pathological murmurs and to arrange more detailed evaluation of the child if there is any doubt. Children should be routinely screened for heart murmurs and other evidence of cardiac disorder between 6 and 8 weeks of age and at subsequent examinations during childhood. Serious cardiac pathology may exist without symptoms. Innocent murmurs The commonest innocent murmur in children (usually heard at age 3-6 years, although also occasionally in infants) is the parasternal vibratory ejection systolic murmur ( Still's murmur which has a very characteristic low-frequency 'twanging' or musical quality. It is localised to the left mid-sternal border or midway between the apex and left lower sternal border, is of short duration, low intensity and is loudest when the child is supine often varying markedly with posture. It can be made to disappear on hyperextension of the back and neck (Scott's manoeuvre).
Heart Murmur In A Newborn Many factors may cause murmurs in children, and the condition can be benign or quite serious. http://parenting.ivillage.com/newborn/nhealth/0,,3q92,00.html
Extractions: var iv_cimsUid = "101072"; var iv_cimsCid = "129331"; var iv_createDate = "01/01/2000"; var iv_lastModDate = "04/23/2001"; // Tacoda category stamp var dartCatStamp = "parenting_newborn_nhealth"; Tacoda_AMS_DDC_addPair("dartCatStamp", dartCatStamp); var iv_secondarytopicID = 129331; @import "/shared/css/global/0,,,00.css"; @import "/shared/css/layout/0,,layout_article,00.css"; @import "/shared/css/content/0,,qa,00.css"; @import "/shared/css/channel/0,,12,00.css"; Skip to Main Content iVillage web Newborn Health Trying to Conceive Fertility Planner ... A "bump-bump, bump-bump" sound is what is usually heard when listening to the heart. A heart murmur is an extra sound. There are many types of extra sounds that may be heard, but all of them go under the heading of murmurs. Many factors may cause murmurs in children, and the condition can be benign or quite serious.
Norton Healthcare® - The Health Illustrated Encyclopedia Article Have other family members had murmurs or other abnormal heart sounds? Is there any family history of heart problems? What other symptoms are present (such http://www.nortonhealthcare.com/healthinfo/adam/1/003266.adam
Extractions: Search Health Care Professionals Norton Employees Careers Contact Us ... health information the health illustrated encyclopedia article Health Information Select One Health Information Get Healthy! Magazine Diseases and Conditions Health Risk Assessments Drug Information Center Quality Report Health News Interactive Wellness Tools Pregnancy Health Center Breast Health Buddy Check Child Safety The Body Guide Heart, section through the middle Definition: Murmurs are blowing, whooshing, or rasping sounds produced by turbulent blood flow in or near the heart. Often, they are caused by turbulent blood flow through the heart valves. The heart has four chambers two upper chambers (called atria) and two lower chambers (ventricles). The heart has valves that temporarily close to permit blood flow in only one direction. The valves are located between the atria and ventricles, and between the ventricles and the major arteries from the heart.
The Original Holisticat (TM) FAQs - Heart Problems A heart murmur occurs when there is turbulence to the normal flow of blood There is a small risk that murmurs can lead to congestive heart failure. http://www.holisticat.com/hcm.html
Extractions: WHAT IS A HEART MURMUR? A heart murmur occurs when there is turbulence to the normal flow of blood through the chambers of the heart, and is usually due to a problem in a heart valve. When a valve is thickened or damaged and unable to close fully, some of the blood escapes around the valve. A vet can hear a squishing sound which confirms that blood is leaking out of the heart valves during contraction. Murmurs are usually seen in older cats but it is not uncommon to see them in a young kitties. In fact, many kittens are born with murmurs and outgrow them later in life. A lot of cats with murmurs live long healthy lives. There is a small risk that murmurs can lead to congestive heart failure. When older pets have a valve related murmur, the incomplete valve closure is often due to bacterial deposits on the valves. A very common source of this bacteria is dental disease, so it's important to keep your kitty's teeth and gums in good condition.
Functional Heart Murmur A functional heart murmur is a harmless heart murmur (abnormal sound) made by a healthy heart beating strongly. As blood rushes with great force out of the http://www.drhull.com/EncyMaster/F/functional_heart_murmur.html
Extractions: Help for sleepless parents Encyclopedia Index F functional heart murmur Search functional heart murmur A functional heart murmur is a harmless heart murmur (abnormal sound) made by a healthy heart beating strongly. As blood rushes with great force out of the ventricles of the heart, turbulence in the blood flow can make the walls of the heart vibrate with a characteristic low-pitched "twang." Eighty percent or more of all normal children will be diagnosed at some point with a functional heart murmur. The truth is, if we listen carefully enough to a quiet patient with a good stethoscope we can hear at least a faint murmur in just about every normal child. Functional murmurs are short, often twangy in sound, with an ejection type pattern of crescendo-decrescendo (waxing and waning) intensity. There is an audible gap between the "lup" and the beginning of the murmur, and between the end of the murmur sound and the "dudup."
Extractions: A heart murmur is a swishing or a whistling sound that the doctor hears when he listens to your heart. The doctor uses a tool called a stethoscope to listen to the heart. A murmur is usually present when there is a heart valve problem. The doctor will perform a variety of tests to determine what kind of valve problem you have and if the valve problem is serious. Some of the tests performed are: an echocardiogram, an electrocardiogram, a chest x-ray, or cardiac catheterization. What Causes a Heart Murmur? There are many different causes of heart murmurs. They can be caused by a heart attack, high blood pressure , rheumatic fever, pregnancy, fever , thyrotoxicosis or anemia . Thyrotoxicosis is a condition caused by an overactive thyroid gland Types of Heart Murmurs? There are two main types of heart murmurs: diastolic and systolic. A diastolic murmur occurs when the heart muscle relaxes between beats. It occurs after the second heart sound. A systolic murmur occurs between the first and second heart sounds. What is a Heart Valve?
Heart Murmur Introduction & Symptoms Health Information on heart Murmur,cardiac souffle,heart,cardiac,sound,resound,valve,anatomic valve,blood,sanguis,examinations,test,dub,dysfunctional http://my.webmd.com/content/pages/4/1675_51096.htm
Extractions: You are in All Conditions ADD/ADHD Allergies Alzheimer's Arthritis Asthma Back Pain Bipolar Disorder Breast Cancer Cancer Cholesterol Management Dental Depression Diabetes Epilepsy Eye Health Heart Disease Hepatitis HIV/AIDS Hypertension Men's Conditions Mental Health Migraines/Headaches Multiple Sclerosis Osteoporosis Parkinson's Sexual Conditions Stroke Weight Control Women's Conditions Learning that you have or your child has a heart murmur can be scary. However, heart murmurs are quite common and often are harmless. More In-Depth Info: Heart Center In particular, they occur in many healthy children, who may or may not outgrow them as adults. They may also occur during pregnancy. Such murmurs are called "innocent" heart murmurs. They are not associated with medical or heart conditions, and do not require treatment or lifestyle changes. Try Our Heart Murmur Quiz Though many murmurs are innocent, some may indicate serious heart problems. For instance, heart murmurs may be caused by blood flowing through a heart valve made leaky or narrow by disease. Murmurs can also be caused by increased blood flow across a valve as a result of medical conditions such as anemia or hypothyroidism. Congenital cardiac defects (heart problems present at birth) can also cause heart murmurs. These often can be repaired with surgery.
