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91 Possible Causes for Diastolic Murmur, Polycythemia, Pulmonary Systolic Murmur

  • Eisenmenger Syndrome

    Chronic hypoxia caused by Eisenmenger syndrome may result in polycythemia with resultant hyperviscosity and bilateral central retinal vein occlusion.[ncbi.nlm.nih.gov] Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[remedyland.com] murmur pulmonary insufficiency jugular venous distension loud pulmonary component of S2 sound clubbing of extremities peripheral edema Imaging Radiography indication performed[medbullets.com]

  • Patent Ductus Arteriosus

    Course and Complications  Ejection systolic murmur at birth (due to pulmonary hypertension)  continuous murmur after a few weeks  Development of Pulmonary arterial hypertension[slideshare.net] In patients with a large left-to-right shunt, a low-pitched mitral mid-diastolic murmur may be audible at the apex.[medicaljoyworks.com] A heart murmur occurs in the pulmonary area; the murmur may be continuous, systolic with a short diastolic component, or only systolic, depending on the pulmonary artery pressure[msdmanuals.com]

  • Large Ventricular Septal Defect

    In addition, neonates have a relative polycythemia. The elevated pulmonary resistance usually declines to adult levels by 6-8 weeks.[emedicine.medscape.com] […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[remedyland.com] A smaller defect will lead to a louder murmur Diastolic murmur : Diastolic rumble due to increased flow across mitral valve due to left-to right shunting.[pedclerk.bsd.uchicago.edu]

  • Congenital Heart Disease

    ., polycythemia, methemoglobinemia) To distinguish central cyanosis from peripheral cyanosis, look for bluish discoloration inside the mouth – tongue, mucous membranes and[emergencymedicinecases.com] […] ejection-type murmurs at the left lower sternal border over the pulmonary area Anemia Weight gain The current medication regimen should also be reviewed for appropriate indications[doi.org] […] veins with prominent A and V waves Diffuse, displaced left ventricular impulse; palpable RV impulse Increased first heart sound; persistent splitting of second heart sound Systolic[doi.org]

  • Left to Right Cardiac Shunt

    Degree of polycythemia Significant cyanosis usually results in polycythemia, the biological response to decreased tissue oxygen delivery and the attempt to maintain adequate[cancertherapyadvisor.com] Auscultatory findings Harsh h olosystolic murmur over the left lower sternal border ; typically louder in small defects Mid- diastolic murmur over cardiac apex Systolic thrill[amboss.com] A large left-to-right atrial shunt may produce a rumbling low-pitched diastolic murmur (due to increased tricuspid flow) at the lower sternal borders.[merckmanuals.com]

  • Innocent Cardiac Murmurs

    On the other hand polycythemia (case 4) may be normally saturated by pulse oxymeter, however the small percentage of deoxygenated Hgb may be significant enough to cause cyanosis[pedcard.rush.edu] […] cardiac murmur On examination - machinery murmur On examination - pulmonary diastolic murmur On examination - pulmonary systolic murmur On examination - systolic murmur On[icd9data.com] Pulmonary flow murmur Pulmonary flow murmur is a soft systolic murmur, which unlike Still's murmur, is heard at the upper left sternal edge and is harsher and higher pitched[gponline.com]

  • Pulmonary Atresia

    This alleviates cyanosis and polycythemia during infancy.[heartviews.org] Auscultatory finding: harsh systolic murmur that is best heard over Erb's point and left upper sternal border ; single second heart sound Diagnostics Pulse oximetry : SpO2[amboss.com] In some patients with severe cyanosis, no murmur can be heard. An early diastolic murmur of aortic regurgitation may be noted.[emedicine.com]

  • Chronic Right-Sided Congestive Heart Failure

    […] conditions that lead to an increased cardiac demand ( high-output state) Anemia Systemic arteriovenous fistulas Sepsis Hyperthyroidism Multiple myeloma Glomerulonephritis Polycythemia[amboss.com] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info] […] area which increases with inspiration, and sometimes diastolic murmur of pulmonary insufficiency; also, an enlarged tender liver, ascites frequently present as well as ankle[escardio.org]

  • Lutembacher Syndrome

    […] to Indonesian Glosari PB Depdiknas RI Lengkap multiple lentigenes syndrome sindrom lentigen multipel berganda Hikmat English to Indonesian Glosari PB Depdiknas RI Lengkap polycythemia-hyperviscosity[proz.com] Systolic murmurs: A pulmonary flow murmur due to increased flow across the pulmonic valve. Tricuspid regurgitation: lower left parasternal area.[patient.info] A loud mid diastolic murmur from the left sternal border to the apex without presystolic accentuation was heard.[jscisociety.com]

  • Tetralogy of Fallot

    Chronic hypoxemia-induced secondary polycythemia and the consequent increase in blood hyperviscosity predisposed this patient to PE.[ncbi.nlm.nih.gov] Single S2 - pulmonary valve closure not heard. Systolic ejection murmur - varies in intensity inversely with the degree of RVOT obstruction.[patient.info] […] a diastolic murmur due to pulmonary regurgitation.[clinicaladvisor.com]

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