Dear All

Thank you for participating in the session.

In Rapid Random Review we discussed:

• Croup
• Acute abdominal Pain
• Galactosemia

AG discussed discussed murmurs. There are a common point of confusion and can cause serious problems in the exam. 

Common conditions seen in the exam are: VSD, PDA, Pulm stenosis, Aortic stenosis, Aortic regurgitation, ASD. They all produce a systolic murmur except Aortic Regurgitation that is diastolic and PDA – continuous. The key to differentiating them is 1: location and 2: Intensity.

We discussed the various murmurs and how to identfy and present the findings. 

The Learning points are:

• Systematic approach
• Good to hear and learn of various murmurs in One place
• Attend cardiac clinic to gain experience
• Move sthescope very quickly between two sites to identify ‘louder’
• Close eyes when listening – you will hear better.

Please visit www.mrcpchonline.org to add your comments or points I may ahve missed.

Anil Garg