Cardiology Clinical Signs - Differential Diagnoses

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Which diagnoses should you consider when you detect a characteristic murmur on auscultation?


Contents


See also these assocated articles:


Aortic Stenosis

Also associated with Mitral Stensos and Aortic Coarctation


Endocarditis


Bicuspid Aortic Valve

  • Normal in 10% of population
  • Turner's Syndrome
  • Edward's Syndrome
  • Patau's Syndrome


Supra-valvular Aortic Stenosis

  • William's Syndrome


Aortic Coarctation

  • Turner's Syndrome
  • Edward's Syndrome
  • Patau's Syndrome


Single S2

ie. abnormal Pulmonary or Aortic Valve


  • Severe Pulmonary Stenosis or Aortic Stenosis
  • Tetralogy of Fallot
  • Pulmonary Atresia
  • Univentricular heart


Atrial Septal Defect


Pulmonary Stenosis

  • Noonan Syndrome (dysplastic valve or supravalvular stenosis)
  • Leopard Syndrome (Noonan-like syndrome)
  • Tetralogy of Fallot
    • CHARGE Syndrome
    • Downs Syndrome
    • Fetal Alcohol Syndrome
    • 22q deletion Syndrome
    • Congenital Rubella infection
  • Maternal Warfarin use


Branch / Peripheral Pulmonary Artery Stenosis


Ventricular Septal Defect

  • Downs Syndrome (consider also AtrioVentricular Septal defect)
  • 22q deletion Syndrome
  • CHARGE (also Tetralogy of Fallot, AVSD, Double outlet right ventricle)
  • VACTERL
  • Diabetic mother (also: hypertrophic cardiomyopathy)
  • Edward's Syndrome
  • Patau's Syndrome
  • Fetal alcohol syndrome


Patent Ductus Arteriosus

  • Prematurity
  • Downs Syndrome
  • Edward's Syndrome
  • Patau's Syndrome
  • Fetal alcohol syndrome
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