About Pediatric Referrals Course
Pediatric murmurs can be innocent or require referral. This course aims to improve your auscultation skills and decisions-making for pediatric heart murmurs. The cases include patient history, a heart sounds auscultation page and a decision page.
Cardinal Clinical Signs
There are six cardinal clinical signs on cardiac examination which prove to be significant independent predictors of the presence of a confirmed cardiac lesion. The six signs are the following:
- A murmur of intensity 3 or greater.
- The murmur is best heard at LUSB (2LICS).
- The murmur is of harsh quality.
- The murmur is pansystolic.
- The presence of a systolic click.
- The presence of an abnormal second heart sound (fixed splitting with respiration).
Course Completion Certificate
Upon completing all cases within this course (during one session), you will be able to print a course completion certificate.
How To Use Course LessonsEach lesson consists of multiple pages: text description with audio recording and dynamic waveform pages. Some lessons include a cardiac animation and exercises pages. To view these lesson pages, use the tabs which appear above each lesson's content.
Heart and Lung Sounds Contributors: Dr. Jonathan Keroes, MD (Johns Hopkins), Cardiologist (ret.), David Lieberman, Heart Sound Simulation Consultant. Editorial review by Dr. Barbara Erickson, Author and Editor.