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Still's Murmur

See Also
1. Pediatric Murmur
History
1. First described by Dr. George Still (1909)
Epidemiology
1. Common in children ages 2 to 8 years old
Signs
1. Low to medium frequency, mid-Systolic Murmur
2. Intensity: Grade II-III of VI (variable)
3. Location: near apex
4. Character
  1. Vibratory, harmonic, musical, twanging, groaning
5. Provocative conditions and positions (increased murmur)
  1. Supine position
  2. Fever
  3. Anemia
Differential Diagnosis
1. Ventricular Septal Defect
2. Left ventricular outflow obstruction
3. Hypertrophic Cardiomyopathy
Course
1. Innocent murmur

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Still's Murmur

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