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| **Holosystolic (pansystolic) murmurs:
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| ***chronic MR.
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| ***chronic TR.
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| ***VSD
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| ***PDA with pulmonary hypertension
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| **Midsystolic (systolic ejection) murmurs
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| ***Innocent murmur (still's murmur)
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| ***AS
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| ***PS
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| ***HOCM
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| ***Functional:
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| ****ASD
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| ****VSD
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| ****Straight back syndrome
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| ****Aortic root dilation
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| ****Pulmonary artery dilation
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| ****pulmonary hypertension
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| ****Hyper-kinetic status:
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| *****pregnancy
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| *****Anemia
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| *****hyperthyroidism
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| *****exercise
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| *****A-V fistula
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| **Early systolic murmurs
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| ***Acute MR
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| ***Acute TR
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| ***Small VSD
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| **Mid to late systolic murmurs
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| {{familytree | | |,|-|-|-|-|+|-|-|-|-|.| | | | | | | | | | | | | | | | | | | | |}}
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| {{familytree | | C01 | | | C02 | | | C03 | | | | | | | | | | | | | | | | | | | | |C01=<div style="float: left; text-align: left; width: 28em; padding:1em;">Maximum intensity over apex Radiation to axilla or base A2 not heard over apex Decreased intensity with amyl nitrate|C02=<div style="float: left; text-align: left; width: 28em; padding:1em;">Maximum intensity over left sternal border Radiation to epigastrium and right sternal border Increased intensity during inspiration Prominent c-v wave with sharp y descent in jugular venous pulse|C03=<div style="float: left; text-align: left; width: 28em; padding:1em;">Maximum intensity over lower left third and fourth interspace Widespread radiation, palpable thrill Decreased intensity with amyl nitrate No change in intensity during inspiration Wide splitting of S2}}
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| {{familytree | | |!| | | | |!| | | | |!| | | | | | | | | | | | | | | | | | | | | }}
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| {{familytree | | C01 | | | C02 | | | C03 | | | | | | | | | | | | | | | | | | | |C01=Mitral regurgitation|C02=Tricuspid regurgitation|C03=Favors ventricular septal defect; often difficult to differentiate from
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| mitral regurgitant murmur}}
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| {{familytree | |,|^|-|-|.| |!| | | | | | | | | | | | | | | | | | | | | | | | | | }}
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| {{familytree | C01 | | C02 |)|-| C03 |-| C04 | | | | | | | | | | | | | | | | | |C01=Hyperdynamic left ventricular impulse<br> Wide splitting of S2|C02=Sustained left ventricular impulse<br> Single S2 or narrow splitting of S2|C03=Prominent left parasternal diastolic impulse<BR> Normal brief left parasternal systolic impulse<br> Normal P2, Rarely paradoxical S2|C04=Primary }}
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| {{familytree | |!| | | |!| |!| | | | | | | | | | | | | | | | | | | | | | | | | | }}
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| {{familytree | |!| | | |!| |`|-| C01 |-| C02 | | | | | | | | | | | | | | | | | | |C01=Sustained systolic left parasternal impulse Narrow splitting of S2 with marked increase in intensity of P2|C02=Secondary to pulmonary hypertension}}
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| {{familytree | C01 | | C02 | | | | | | | | | | | | | | | | | | | | | | | | | | |C01=Primary mitral regurgitation|C02=Secondary mitral regurgitation}}
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| !style="width: 300px;background:#4479BA"|{{fontcolor|#FFF| SYSTOLIC MURMUR}} !!style="width: 300px;background:#4479BA"|{{fontcolor|#FFF| DIASTOLIC MURMUR}} !! style="width: 300px;background:#4479BA"|{{fontcolor|#FFF| Continuous Murmur}} | | !style="width: 300px;background:#4479BA"|{{fontcolor|#FFF| SYSTOLIC MURMUR}} !!style="width: 300px;background:#4479BA"|{{fontcolor|#FFF| DIASTOLIC MURMUR}} !! style="width: 300px;background:#4479BA"|{{fontcolor|#FFF| Continuous Murmur}} |
| |- | | |- |
| | ❑ '''[[MR resident survival guide#Treatment]]''' <br> ❑ '''[[NSTEMI resident survival guide#Treatment|NSTEMI / Unstable angina]]''' <br> ❑ '''[[Chronic stable angina treatment|Stable angina]]'''<br> ❑ '''[[Pericarditis resident survival guide#Treatment|Pericarditis]]'''<br> ❑ '''[[Aortic dissection resident survival guide#Treatment|Aortic dissection]]'''<br> ❑ '''[[Aortic stenosis resident survival guide#Treatment|Aortic stenosis]]''' <br>❑ '''[[Prinzmetal's angina#Medical Therapy|Prinzmetal's angina]]''' <br> ❑ '''[[PCI complications: coronary vasospasm#Treatment|PCI-induced coronary vasospasm]]''' <br> ❑ '''[[New guidelines for the management of cocaine chest pain|Cocaine induced coronary vasospasm]]''' | | | ❑ '''[[Mitral regurgitation resident survival guide#Treatment of Acute Mitral Regurgitation|Acute Mitral Regurgitation]]''' <br> ❑ '''[[Mitral regurgitation resident survival guide#Treatment of chronic Mitral Regurgitation|chronic Mitral Regurgitation]]'''<br> ❑ '''[[Aortic stenosis resident survival guide#Treatment|Aortic stenosis]]'''<br> ❑ '''[[Hypertrophic cardiomyopathy resident survival guide#Treatment|HOCM]]'''<br> |
| | ❑ '''[[Pulmonary embolism resident survival guide#Treatment|Pulmonary embolism]]'''<br> ❑ '''[[Tension pneumothorax resident survival guide#Treatment|Pneumothorax]]'''<br>❑ '''[[Asthma exacerbation resident survival guide|Asthma exacerbation ]]'''<br> ❑ '''[[Pulmonary hypertension resident survival guide#Treatment|Pulmonary hypertension]]'''<br> ❑ '''[[Pneumonia medical therapy |Pneumonia ]]''' <br> ❑ '''[[Pleurisy medical therapy |Pleuritis]]''' | | | ❑ '''[[Aortic regurgitation resident survival guide#Treatment|Aortic regurgitation]]'''<br> ❑ '''[[Mitral stenosis resident survival guide#Treatment|Mitral stenosis]]'''<br> |
| | ❑ '''[[Pancreatitis medical therapy |Pancreatitis ]]''' <br> ❑ '''[[Acute cholecystitis resident survival guide#Treatment Approach|Acute cholecystitis]]''' <br> ❑ '''[[Gastroesophageal reflux disease medical therapy|GERD]]''' <br>❑ '''[[Peptic ulcer medical therapy|Peptic ulcer]]''' <br>❑ '''[[Nutcracker esophagus medical therapy|Esophageal spasm]]'''<br>❑ '''[[Mallory-Weiss syndrome medical therapy|Mallory-Weiss syndrome]]''' <br> | | | ❑ '''[[PDA#treatment ]]''' <br> |
| | ❑ Musculoskeletal pain:
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| : ❑ [[Costochondritis]]<br> ❑ [[Rheumatoid arthritis medical therapy|Rheumatoid arthritis]] <br> ❑ [[Rib fracture#Treatment|Rib fracture]]
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| ❑ '''[[Herpes zoster medical therapy|Herpes zoster]]''' <br> ❑ '''[[Anxiety medical therapy|Anxiety]]''' <br> ❑ '''[[Panic disorder#Treatment|Panic disorder]]'''
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| |} | | |} |