ravilya_pediatrics_ cardiology diff ds

Lower extremities lesscyanotic than upper extremities, egg-shaped heart, narrow mediastinum, severe cyanosis

Massive cardiomegaly, holosystolic murmur over whole (1) anterior chest sounds like pericardial friction rub,extraSYstole present

No (or mild) cyanosis, wide pulse pressure, systolic ejection murmur with thrill in (L) sternal border, single loud2ndheartsounds

Mild cyanosis, (L) parasternal heave, loud 2ndheartsound with split, 3rd heart sound followed by mid-diastolic rumbling murmur.

Grayish blue skin color, weakor absent peripheral pulses, (R) ventricular heave, small (L) ventricular pattern, a nondescript systolic murmur, cardiomegaly, and hepatomegaly.

Pulmonary arteriovenous fistula

Asymptomatic, a loud, harsh or blowing, holosystolic murmur in (L) lower sternal border and hrill. Large VSD due to pulmonary overflow present with dyspnea, poor feeding, and poor growth.

Pulmonary hypertension with reversed shunting or bidirectional shunting. Patient appears in 2ndor 3rd decade of life with cyanosis, dysrythmia, and dyspnea; a right ventricular heave, a split 2ndheartsound; a holosystolic murmur of tricuspid regurgitation and an early decrescendo murmur of pulmonic insufficiency

Systolic ejection murmur best heardi n (L) middle and upper sternal border, wide split 2nd heart sound in all phases of respiration.

Congestive cardiac failure, intercurrent pulmonary infection, a mid-diastolic rumbling murmur with thrill due toVSD, split 2ndheart sound and pulmonary systolic ejection murmur. EKG: characteristics (L) axis deviation.

Harsh systolic murmur or grating or swishing type present in (L) upper sternal border near2nd interncostal space, bounding peripheral pulses, machinery or rolling thunder murmur in older child.
m.
Pulmonary stenosis
Well-developed, well

Weakness (orpain) in both legs after exercise, diminished pulse andblood pressure more inlower extremities than upper, a systolic murmur along sternal border at3rdand 4thintercostals spaces and transmitted along left infrascapular area; high BP in upper extremities.

Oxygen in (R) side ofheart more than in (L) side ofheart, "snowman sign" (figure eight).

Sudden death, systolic ejection murmur with thrill in aortic are radiate towards neck and apex.

Rule out scoliosis, late systolic murmur at apex with click

Clinical manifestations are dominated by associated anomalies (e.g., TOF); a soft, systolic murmur can be heard over both lungs