This asymptomatic 4 year old came to the clinic for evaluation of a heart murmur recently detected by his primary care physician. The stethoscope is at the left upper sternal border. We are listening with the diaphram.

Listen carefully to the recorded sound.

Return to the normal cardiac cycle for review if necessary.

Describe the murmur in relation to the cardiac cycle. Is it functional or organic? Offer a diagnosis.

When you are satisfied with your answer, submit your response to see the actual initial diagnosis. Your name and an answer are required to get a response.

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Objectives | History | Physical Exam | Cardiac Cycle | Murmurs |
Criteria for Referral | Compare Sounds | Case Studies | Samples of Murmurs