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Heart murmurs, gallops, and splits

  • Ddx

    • Systolic murmur
      • aortic stenosis (midsystolic murmur radiates to carotids)
      • pulmonic stenosis
      • mitral regurgitation (radiates to axilla)
      • mitral prolapse (midsystolic click)
      • tricuspid regurgitation
      • VSD (holosystolic along left sternal border)
      • HCM (exertional syncope)
    • Diastolic murmur
      • mitral stenosis (diastolic rumble)
      • tricuspid stenosis
      • aortic regurgitation (blowing murmur, wide pulse pressure)
      • pulmonic regurgitation
      • complete heart block (bradycardia)
    • Continuous murmur
      • PDA (machine-like)
    • S3 Gallop
      • CHF
      • volume overload (edema)
      • normal in kids
    • S4 Gallop
      • MI
      • aortic stenosis
      • HCM
      • ventricular hypertrophy
    • splitting
      • ASD (fixed S2 split)
      • aortic stenosis (paradoxical/expirational S2 split)
      • pulmonic stenosis (S2 split)
      • LBBB (paradoxical/expirational S2 split)
      • RBBB (S1 split, S2 split)
  • Labs

    • CBC
    • BNP
    • enzymes
    • EKG
    • echo

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.