MURMUR IN THE NEWBORN (<48 HOURS)

Murmur in the Newborn (<48 hrs) Harsh or diastolic murmur Cyanosis or hypoxia Abnormal or absent pulses Upper limb blood pressure ≥20 mmHg above lower limb BP Clinically unwell or unstable Sudden deterioration Yes → Pathological murmur Cyanotic Congenital Heart Disease* Transposition of the Great Arteries Truncus Arteriosus Total Anomalous Pulmonary Venous Return Tricuspid Atresia Tetralogy of Fallot Pulmonary Atresia Ebstein’s anomaly Hypoplastic left heart Acyanotic Congenital Heart Disease* Atrial septal defect Ventricular septal defect Coarctation of the Aorta Aortic stenosis Pulmonary stenosis Arteriovenous malformation No → Benign murmur* Peripheral Pulmonic Stenosis Pulmonary flow murmur *Indicates Key Condition This is not an exhaustive list of medical conditions.