Still’s murmur

Still’s murmur

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Still’s murmur

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[A] Functional heart murmur
[B] Murmur in Rheumatoid arthritis
[C] Flow murmur in Tetralogy of Fallot
[D] Machinery murmur of Patent ductus arteriosus

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Still’s murmur

• Still’s murmur
• Common type of benign or “innocent” functional heart murmur
• Not associated with any sort of cardiac disorder or any other medical condition.
• It can occur at any age
• Most common among children two to seven years of age
• Crescendo-decrescendo medium-to-long ejection systolic murmur,
• Heard loudest at the left lower sternal border and apex, and best heard with bell of stethoscope.
• Murmur increases in intensity with high output states -fever, anxiety, and exercise

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