Innocent Murmurs in Children. Georgeann Wang, MS3. Murmurs in Children. Heart murmurs are one of the most common physical findings in any practice that cares for children 50-60% of children have a heart murmur Over 90% of heart murmurs are normal and require no further evaluation/referral
Georgeann Wang, MS3
A 5 y/o Latin American boy presents for his annual school physical. He has no significant PMH and is very active. More recently he has had fever and diarrhea. PE is normal with the exception of this murmur heard at the LLSB near the apex.
You tell mom that he has a benign murmur. She asks you why no doctor has ever heard this murmur before today. You say?
He has a vibratory Still’s murmur that is just now detected since he is sick with fever (high output state increases intensity of the murmur).