A mother is upset because she was told by another provider that her child has a worrisome murmur. You listen near the clavicle and notice both a systolic and diastolic sound that seems abnormal. You remember that diastolic murmurs may be indicative of worrisome pathology. What would you do next?
A. Immediate cardiology referral
B. Echocardiogram
C. Repeat the cardiac exam with the child in a supine position
D. Reassure the mother
In this case it is advised to repeat the exam with the child in the supine position.
Because sometimes the diastolic heart murmuring is observed when heart refills blood which is pumped during contraction due to bad pathology. Hence to ensure the proper findings it is advised to repeat the cardiac exam with the child in a supine position.
Hence Option C is correct.
A mother is upset because she was told by another provider that her child has a...
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