Murmur

Clerkship

Lecture materials and small group cases are posted here for University of Calgary Cumming School of Medicine students. Access to these materials are password protected.

Objectives

By the end of the Paediatric Clerkship, a medical student will be able to:

1. Describe the structural and dynamic changes that occur following birth in the cardiovascular system, including closure of the ductus arteriosus.
2. Describe the classification system of murmurs.
3. Describe the characteristics of “innocent” murmurs.
4. List the indications for prostaglandin infusion in a newborn.
5. Draw a picture, and describe the signs and symptoms, of each of the following:
   
   • Ventricular septal defect
   • Atrial septal defect
   • Patent ductus arteriosus
   • Tetralogy of Fallot
   • Transposition of the great arteries
   • Coarctation of the aorta

Half Day Cases

• 1. A 4 year old child is referred for assessment of a systolic murmur heard on recent well-child exam.
• 2. A 6 week old term infant with poor feeding is referred for assessment of a systolic murmur.
• 3. You are a pediatrician in a rural center. You are called to the delivery room urgently to see a term newborn with cyanosis and no murmur. The infant had an uncomplicated vaginal delivery.
• 4. A 6 year old child with a history of recurrent respiratory infections is referred for assessment of a systolic murmur.