DMA : DaVinci medical academy

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Still murmur?
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In normal children and adolescent

Valsalva maneuver?
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Decreases length and intensity except HOCM, MVP

Standing?
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Diminishes murmur except HOCM, MVP

Hand grip increases?
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MS, PS, MR, AR, VSD

Continuous murmur?
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Continuous murmur?
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PDA, shunt between pulmonary and subclavian artery

Continuous murmur NOT seen in?
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VSD with aortic regurgitation

MC cause of midsystolic murmur in adult?
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Aortic stenosis

Pansystolic murmur?
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MR, VSD, TR

Murmur heard in utero?
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Gerbode effect (LV to RA shunt)
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