Continuous murmur: Difference between revisions

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__NOTOC__
{{Continuous murmur}}
{{CMG}}; {{AE}} {{TS}}


==Overview==
==Causes==
===Life Threatening Causes===
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
===Common Causes===
===Causes by Organ System===
{|style="width:80%; height:100px" border="1"
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Atherosclerosis]],  [[endocarditis]],  [[Abdominal aortic aneurysm surgery#Complications|perianeurysmal aortitis]]
|-
|-bgcolor="LightSteelBlue"
| '''Chemical/Poisoning'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Dental'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Dermatologic'''
|bgcolor="Beige"| [[Acute febrile neutrophilic dermatosis]],  [[psoriasis]]
|-
|-bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
|bgcolor="Beige"| [[Furosemide]]
|-
|-bgcolor="LightSteelBlue"
| '''Ear Nose Throat'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Endocrine'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Environmental'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
|bgcolor="Beige"| [[Crohn's disease]],  [[ulcerative colitis]]
|-
|-bgcolor="LightSteelBlue"
| '''Genetic'''
|bgcolor="Beige"| [[Interleukin 23|IL-23 overexpression]],  [[Wiskott-Aldrich syndrome]]
|-
|-bgcolor="LightSteelBlue"
| '''Hematologic'''
|bgcolor="Beige"| [[Myelodysplastic syndrome]]
|-
|-bgcolor="LightSteelBlue"
| '''Iatrogenic'''
|bgcolor="Beige"| [[Cardiac catheterization]],  [[Abdominal aortic aneurysm surgery#Complications|perianeurysmal aortitis]]
|-
|-bgcolor="LightSteelBlue"
| '''Infectious Disease'''
|bgcolor="Beige"| [[AIDS natural history, complications, and prognosis#Other complications|AIDS]],  [[aspergillus]],  [[bacteremia]],  [[borrelia burgdorferi]],  [[candida]],  [[endocarditis]],  [[enterococcus]],  [[escherichia coli]],  [[Fusarium solani f.sp. pisi|fusarium solani]],  [[gonorrhea]],  [[haemophilus influenzae]],  [[hepatitis B]],  [[hepatitis C]],  [[mycobacterium fortuitum]],  [[mycobacterium tuberculosis]],  [[mycotic aneurysm]],  [[pasteurella multocida]],  [[proteus]],  [[pseudomonas]],  [[Reiter's syndrome]],  [[rocky mountain spotted fever]],  [[Salmonella#Salmonella- associated diseases|salmonella]],  [[staphylococcus]],  [[streptococcus pneumoniae]],  [[Syphilis history and symptoms#Tertiary syphilis|syphilis]],  [[yaws]]
|-
|-bgcolor="LightSteelBlue"
| '''Musculoskeletal/Orthopedic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Neurologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Nutritional/Metabolic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Obstetric/Gynecologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Oncologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Ophthalmologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Overdose/Toxicity'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Psychiatric'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Pulmonary'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Renal/Electrolyte'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Rheumatology/Immunology/Allergy'''
|bgcolor="Beige"| [[Acute febrile neutrophilic dermatosis]],  [[ANCA-associated vasculitides]],  [[Ankylosing spondylitis natural history, complications and prognosis#Complications|ankylosing spondylitis]],  [[Autoimmune Vasculitis|autoimmune vasculitis]],  [[Behçet's disease]],  [[capnocytophaga canimorsus]],  [[Churg-Strauss syndrome]],  [[Cogan syndrome]],  [[Temporal arteritis natural history, complications and prognosis#Complications|giant cell arteritis]],  [[IgG4-related systemic disease]],  [[juvenile rheumatoid arthritis]],  [[Kawasaki disease]],  [[microscopic polyangiitis]],  [[Ormond's disease]],  [[polyarteritis nodosa]],  [[psoriasis]],  [[reactive arthritis]],  [[Reiter's syndrome]],  [[relapsing polychondritis]],  [[retroperitoneal fibrosis]],  [[rheumatoid arthritis]],  [[scleroderma]],  [[spondylarthropathy]],  [[systemic lupus erythematosus]],  [[Takayasu arteritis#Natural History, Complications and Prognosis|Takayasu arteritis]],  [[Wegener granulomatosis]]
|-
|-bgcolor="LightSteelBlue"
| '''Sexual'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Trauma'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Urologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Miscellaneous'''
|bgcolor="Beige"| [[Retroperitoneal fibrosis|Idiopathic isolated periaortitis]],  [[Idiopathic|idiopathic isolated aortitis]],  [[sarcoidosis]]
|-
|}
===Causes in Alphabetical Order===
{{col-begin|width=80%}}
{{col-break|width=33%}}
*[[Abdominal aortic aneurysm]]
*[[Anemia]]
*[[Coronary artery fistula|Anomalous left coronary artery arising from pulmonary artery]]
*[[Aortic-atrial fistulas]]
*[[Arteriovenous fistula]]
*[[Arteriovenous malformation]]
*[[Lutembacher's syndrome|Atrial septal defect with mitral stenosis or atresia]]
*[[Atrial septal defect]] without [[mitral valve]] obstruction
*[[Bronchial arterial collateral vessels develop in pulmonary atresia with ventricular septal defect]]
*[[Bronchial arterial collateral vessels develop in tricuspid atresia ]]
*[[Celiac artery stenosis]]
*[[Venous hum|Cervical venous hum]]
*[[Cholangiocarcinoma]]
*[[Cirrhosis]]
{{col-break|width=33%}}
{{col-break|width=33%}}
*[[Coronary artery fistula|Communication between the sinus of valsalva and the right atrium]]
*[[Coronary artery fistula]]
*[[Coronary artery fistula|Fistula between right coronary artery and coronary sinus ]]
*[[Coronary artery fistula|Fistula between right coronary artery and right atrium ]]
*[[Fistulous connection between an internal mammary graft and the pulmonary vasculature]]<ref name="pmid15301909">{{cite journal| author=Guray U, Guray Y, Ozbakir C, Yilmaz MB, Sasmaz H, Korkmaz S| title=Fistulous connection between internal mammary graft and pulmonary vasculature after coronary artery bypass grafting: a rare cause of continuous murmur. | journal=Int J Cardiol | year= 2004 | volume= 96 | issue= 3 | pages= 489-92 | pmid=15301909 | doi=10.1016/j.ijcard.2003.05.035 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15301909 }} </ref>
*Hepatic [[hemangioma]]
*[[Cruveilhier-Baumgarten murmur|Hepatic hum]]
*[[Aortic coarctation|High-grade coarctation]]
*[[Hyperthyroidism]]
*[[Cimino fistula|Large dialysis fistula]]
*Liver[[metastases]]
*[[Lutembacher syndrome]]
*[[Mammary souffle]]
*[[Mitral stenosis]] with a persistent left [[superior vena cava]]
*Partial occlusion of the pulmonary artery due to [[pulmonary embolism]]
*[[Patent ductus arteriosus]]
*[[Pregnancy]]
*[[Pulmonary arteriovenous fistula]]
*[[Pulmonary artery stenosis]]
*[[Renal artery stenosis]]
*[[Ruptured aneurysm of sinus of valsalva]]
*[[Systemic arteriovenous fistulas]]
*[[Takayasu arteritis]]
*[[Total anomalous pulmonary venous drainage]]
*[[Tricuspid regurgitation]]
*[[Truncus arteriosus]]
*Turbulence of [[splenic artery]]
*[[Valvular heart disease ]]
{{col-end}}
==References==
{{Reflist|2}}

Revision as of 21:34, 8 November 2013

Template:Continuous murmur Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Twinkle Singh, M.B.B.S. [2]

Overview

Causes

Life Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.


Common Causes

Causes by Organ System

Cardiovascular Atherosclerosis, endocarditis, perianeurysmal aortitis
Chemical/Poisoning No underlying causes
Dental No underlying causes
Dermatologic Acute febrile neutrophilic dermatosis, psoriasis
Drug Side Effect Furosemide
Ear Nose Throat No underlying causes
Endocrine No underlying causes
Environmental No underlying causes
Gastroenterologic Crohn's disease, ulcerative colitis
Genetic IL-23 overexpression, Wiskott-Aldrich syndrome
Hematologic Myelodysplastic syndrome
Iatrogenic Cardiac catheterization, perianeurysmal aortitis
Infectious Disease AIDS, aspergillus, bacteremia, borrelia burgdorferi, candida, endocarditis, enterococcus, escherichia coli, fusarium solani, gonorrhea, haemophilus influenzae, hepatitis B, hepatitis C, mycobacterium fortuitum, mycobacterium tuberculosis, mycotic aneurysm, pasteurella multocida, proteus, pseudomonas, Reiter's syndrome, rocky mountain spotted fever, salmonella, staphylococcus, streptococcus pneumoniae, syphilis, yaws
Musculoskeletal/Orthopedic No underlying causes
Neurologic No underlying causes
Nutritional/Metabolic No underlying causes
Obstetric/Gynecologic No underlying causes
Oncologic No underlying causes
Ophthalmologic No underlying causes
Overdose/Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary No underlying causes
Renal/Electrolyte No underlying causes
Rheumatology/Immunology/Allergy Acute febrile neutrophilic dermatosis, ANCA-associated vasculitides, ankylosing spondylitis, autoimmune vasculitis, Behçet's disease, capnocytophaga canimorsus, Churg-Strauss syndrome, Cogan syndrome, giant cell arteritis, IgG4-related systemic disease, juvenile rheumatoid arthritis, Kawasaki disease, microscopic polyangiitis, Ormond's disease, polyarteritis nodosa, psoriasis, reactive arthritis, Reiter's syndrome, relapsing polychondritis, retroperitoneal fibrosis, rheumatoid arthritis, scleroderma, spondylarthropathy, systemic lupus erythematosus, Takayasu arteritis, Wegener granulomatosis
Sexual No underlying causes
Trauma No underlying causes
Urologic No underlying causes
Miscellaneous Idiopathic isolated periaortitis, idiopathic isolated aortitis, sarcoidosis

Causes in Alphabetical Order

References

  1. Guray U, Guray Y, Ozbakir C, Yilmaz MB, Sasmaz H, Korkmaz S (2004). "Fistulous connection between internal mammary graft and pulmonary vasculature after coronary artery bypass grafting: a rare cause of continuous murmur". Int J Cardiol. 96 (3): 489–92. doi:10.1016/j.ijcard.2003.05.035. PMID 15301909.