RT Book, Section
A1 O’Gara, Patrick T.
A1 Loscalzo, Joseph
A2 Kasper, Dennis
A2 Fauci, Anthony
A2 Hauser, Stephen
A2 Longo, Dan
A2 Jameson, J. Larry
A2 Loscalzo, Joseph
SR Print(0)
ID 1120788441
T1 Approach to the Patient with a Heart Murmur
T2 Harrison's Principles of Internal Medicine, 19e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 9780071802154
LK accesspharmacy.mhmedical.com/content.aspx?aid=1120788441
RD 2021/04/16
AB The  differential  diagnosis  of  a  heart  murmur  begins  with  a  careful  assessment  of  its  major  attributes  and  response  to  bedside  maneuvers.  The  history,  clinical  context,  and  associated  physical  examination  findings  provide  additional  clues  by  which  the  significance  of  a  heart  murmur  can  be  established.  Accurate  bedside  identification  of  a  heart  murmur  can  inform  decisions  regarding  the  indications  for  noninvasive  testing  and  the  need  for  referral  to  a  cardiovascular  specialist.  Preliminary  discussions  can  be  held  with  the  patient  regarding  antibiotic  or  rheumatic  fever  prophylaxis,  the  need  to  restrict  various  forms  of  physical  activity,  and  the  potential  role  for  family  screening.