Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular Stenosis:
 • Aortic Coarctation
 • Supravalvular Aortic Stenosis (rings, webs)
Subvalvular Stenosis:
 • Hypertrophic Obstructive Cardiomyopathy
 • Subvalvular Aortic Stenosis (rings, webs)
Aortic Stenosis:
 • Uni-/Bicuspid
 • Degenerative (Tricuspid)
 • Rheumatic Heart Disease
Pulmonary Stenosis 
Mitral Regurgitation - Leaflet/Annulus
 • Prolapse
 • Dilated cardiomyopathy
 • Endocarditis
 • Hypertrophic Cardiomyopathy
 • Rheumatic Fever
 • Marfan's Disease
Mitral Regurgitation - Chordae Tendinae
 • Rupture
 • Endocarditis
 • Rheumatic Fever
 • Trauma
Mitral Regurgitation - Papillary Muscle Dysfunction
 • Ischemia
 • Infarct
 • Rupture
Tricuspid Regurgitation - Dilation of Right Ventricle/Annulus
 • Dilated cardiomyopathy
 • Pulmonary Hypertension
Tricuspid Regurgitation - Leaflet
 • Prolapse
 • Endocarditis
 • Rheumatic Fever
 • Ebstein's Anomaly
 • Carcinoid

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Calgary Blackbook @CalgaryBlackBook · 4 years ago
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