Paeds Cases · cardiology
Innocent murmurs and normal paediatric cardiovascular variants — OSCE
OSCE communication and clinical-reasoning station: a parent referred with a child found to have a murmur.
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MRCPCH ClinicalRACP DCEABP General Pediatrics
Prompt
A thriving 3-year-old is referred to the clinic after a murmur was heard at a routine check. The parent is anxious and has been told their child may need 'heart tests' and stop sport.
Station brief (8 minutes)
You are the general paediatric registrar. A thriving 3-year-old has been referred because a murmur was heard at a routine check. The parent is anxious, has read about congenital heart disease online, and has been told the child may need a scan and should stop sport. Examine the child, explain your findings and reasoning, and agree a plan. [1]
References4ShowHide
- [1]Ford B Heart Murmurs in Children: Evaluation and Management. American family physician, 2022.PMID 35289571
- [2]Huq A Cardiac murmurs in children. Australian journal of general practice, 2024.PMID 38957059
- [3]Menashe V Heart murmurs. Pediatrics in review, 2007.PMID 17400822
- [5]Pelech AN The physiology of cardiac auscultation. Pediatric clinics of North America, 2004.PMID 15561171