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Pediatric Cardiology Summary Table

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SUMMARY TABLE FOR PEDIATRIC CARDIOLOGY

ACYANOTIC CONGENITAL HEART DISEASES
DISEASE HEART SOUNDS OTHER PE FINDINGS
nd
• Systolic ejection murmur at 2 LICS • Right sided enlargement
ASD
• Widely split S2
• Systolic regurgitant murmur at the LLSB (apex) • Left sided enlargement;
VSD • Loud and single S2 in pulmonary hypertension • Biventricular hypertrophy if with
Eisenmenger syndrome
nd
• Continuous “machinery like” murmur at the 2 infraclavicular area • Bounding pulses
PDA • Wide pulse pressure
• Left sided enlargement
CYANOTIC CONGENITAL HEART DISEASES
DISEASE HEART SOUND OTHER PE FINDINGS PROCEDURES
• Single and loud S2 • Egg shaped heart on x-ray • Rashkind
• No murmur if with intact • Sening
TGA ventricular septum • Mustard
• Rastelli
• Jatene
nd
• Systolic ejection murmur at 2 • Boot shaped heart on x-ray • Blalock- Taussig procedure
ULSB
TOF
• Loud and single S2

• Systolic regurgitant murmur at • Hypoplastic RV • Blalock-Taussig

TRICUSPID
LLSB • LAD and LVH in ECG • Glenn shunt
ATRESIA
• Ejection murmur at ULSB • Fontan procedure
• Single S2 • Minimal cyanosis in neonates • Rastelli procedure
TRUNCUS • Systolic ejection murmur at • Heart failure in older children
ARTERIOSUS LSB (systolic regurgitant
murmur at LLSB)
• Systolic murmur at LSB • Snowman sign/ Figure of 8 on • Van Praagh procedure
TAPVR
• Murmurs may be absent x-ray
OBSTRUCTIVE LESIONS
DISEASE PE FINDINGS PROCEDURE
PULMONIC • Systolic ejection murmur at LUSB with radiation to the upper back • Balloon valvuloplasty
STENOSIS • Valvotomy (Brock’s procedure)
• Systolic ejection murmur at RUSB • Balloon valvuloplasty
AORTIC
• Valve translocation (Ross
STENOSIS
procedure)
• Weak/ absent femoral pulses • Primary re-anastomosis or a patch
COARCTATION • BP arms>legs aortoplasty
OF AORTA • Rib notching on x-ray
rd th
• Systolic murmur at 3 to 4 LICS with radiation to infrascapular area
SYSTOLIC EJECTION MURMURS
DISEASE PE FINDINGS
ND
ATRIAL SEPTAL • 2 LICS with widely split S2
DEFECT
nd
PULMONARY • 2 LICS with radiation to the upper back
STENOSIS
nd
AORTIC • 2 RICS
STENOSIS
nd
COARCTATION • 2 LICS with radiation to the infrascapular area
OF AORTA
SYSTOLIC REGURGITANT MURMURS
DISEASE PE FINDINGS
VENTRICULAR • LLSB
SEPTAL DEFECT
MITRAL • LLSB with radiation to the Left anterior axillary line
REGURGITATION

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TRANSCRIBERS: CALMA, DIMAUNAHAN, GALANG