PPT-Cardiac Murmurs in the Newborn Infant

Carrie Phillipi MD PhD Prevalence of Congenital Heart Disease CHD lt1 per 100 live births Most cardiac murmurs are benign Risk Factors for CHD when is CHD more likely Family history of CHD . Index Introduction 1 Benign versus pathological murmurs 5 Murmurs categorized by time in cardiac cycle 7 Investigations 11 Introduction What is a murmur? A murmur is a sound generated when blood trave Lida. . and Justin. 9/9/15. High Yield Cards. Murmurs. Stress. Rhythm. Pericarditis. tPA. Preop. Rhythm. Pericarditis. Heart Failure. Valve Disease. Digoxin. Syncope. A 23 year old patient with a history of HOCM who presents to your office for a routine physical. On exam, what characteristics would you expect his murmur to have?. By Sorcha Hodgson (checked by Rebecca Johnston FY1). Introduction. W- wash hands. I- introduce self, explain examination and GAIN CONSENT. P-position pt, check if they in any pain. E- expose patient (top off, supine 45 degree). Erin Burnette, NP-C. Emily Freeman, CPNP. Jamie Haushalter, CPNP. Objectives. Recognize the important factors in the maternal history and labor/delivery process which may affect the newborn. These factors include: pertinent social issues, chronic medical conditions in the mother, genetic risk factors, maternal/infant . Refreshers, Best Practices, and Program Updates. Mission of ISDH Newborn Screening Program. Ensure that every newborn in Indiana receives state-mandated screening for all designated genetic conditions. Erin Burnette, NP-C. Emily Freeman, CPNP. Jamie Haushalter, CPNP. Objectives. Recognize the important factors in the maternal history and labor/delivery process which may affect the newborn. These factors include: pertinent social issues, chronic medical conditions in the mother, genetic risk factors, maternal/infant . Author Panjwani DContact S Mittal Neonatal Guidelines lead Approved by Neonatal Guidelines Meeting Maternity Governance Group Guideline Register No C98/2008Page 1of9Written August 2008 Last ReviewApr FINAL FEB16MaternityGCorporate GovernanceCompliance TeamPolicies Procedural DocumentsPublished Policy DatabaseMaternitynewborn Infant physical examination guidelinesNewborn Infant Physical Examinatio Objectives;. *It discusses; the initial systematic examination of a newborn infant soon after birth to detect congenital abnormalities.. *. Assess newborns requiring resuscitation.. *. It teaches the routine delivery room care.. and care in the children hospital. . Disinfection and sterilization. of articles of care for children. MINISTRY OF EDUCATION AND SCIENSE. V.N. Karazin Kharkiv National University. Medical faculty.  The production of murmurs is due to 3 main factors:  high blood flow rate through normal or abnormal orifices  forward flow through a narrowed or irregular orifice into a dilated vessel Clarke Atkins, DVM, Diplomate, ACVIM (Internal Medicine and Cardiology) Jane Lewis Seaks Distinguished Professor Emeritus North Carolina State University, College of Veterinary Medicine Heart sounds a Dr. Benny J. Panakkal. Senior Resident. Dept. of Cardiology. Govt. Medical College. Kozhikode. .. RESPIRATORY VARIATION. MULLER MANEUVER. VALSALVA MANEUVER. SUSTAINED HANDGRIP. POSTURAL CHANGES. POST – VPC / LONG DIASTOLE OF AF. Athletic Clearance. Del McOmber MD. Pediatric Heartcare Partners. 2-27-15. Cardiac physical examination can be amongst the most diagnostic if done correctly and carefully. Knowledge of cardiac physiology and auscultation techniques/maneuvers can often determine a diagnosis, or help to form a strong differential diagnosis.