{"id":1796,"date":"2017-11-09T08:26:57","date_gmt":"2017-11-09T08:26:09","guid":{"rendered":"http:\/\/papergp.com\/index.php\/paediatrics\/heart-murmurs-in-children\/"},"modified":"2023-01-24T11:25:25","modified_gmt":"2023-01-24T11:25:25","slug":"heart-murmurs-in-children","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/paediatrics\/heart-murmurs-in-children\/","title":{"rendered":"Heart murmurs in children"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Features of an innocent murmur<\/h4>\n<ul>\n<li>Location &#8211; left sternal edge<\/li>\n<li>Variability with position<\/li>\n<li>Good perfusion, pulses<\/li>\n<li>Growing and feeding normally<\/li>\n<li>No signs of heart failure &#8211; hepatomegaly, failure to thrive, recurrent respiratory infections (typical signs in adults not present in this age group e.g. crackles, peripheral oedema, raised JVP)<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>History &#8211; Infant: growth, feeding, breathing, recurrent respiratory infections, sweating, blue episodes, family history<\/li>\n<li>History &#8211; Older child: chest pain, palpitations, exercise intolerance, syncope, leg oedema, family history<\/li>\n<li>Examination\n<ul>\n<li>Obs: RR, HR, CRT<\/li>\n<li>CVS: location of murmur, intensity, positional, systolic, peripheral pulses (inc femoral)<\/li>\n<li>Abdo: hepatomegaly<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>Investigations<\/li>\n<li>Treatment<\/li>\n<li>Follow-up \/ Safety-net\n<ul>\n<li>Refer to paediatrics\n<ul>\n<li>Urgent &#8211; if red flags on history or examination<\/li>\n<li>Routine &#8211; if likely innocent murmur<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Features of an innocent murmur Location &#8211; left sternal edge Variability with position Good perfusion, pulses Growing and feeding normally No signs of heart failure &#8211; hepatomegaly, failure to thrive, recurrent respiratory infections (typical signs in adults not present in this age group e.g. crackles, peripheral oedema, raised JVP) &nbsp; Data gathering History &#8211; Infant: &hellip; <a href=\"https:\/\/papergp.com\/index.php\/paediatrics\/heart-murmurs-in-children\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Heart murmurs in children<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":96,"menu_order":88,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1796","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1796","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=1796"}],"version-history":[{"count":3,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1796\/revisions"}],"predecessor-version":[{"id":1948,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1796\/revisions\/1948"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/96"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=1796"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}