Cyanotic Congenital Heart Disease* Acyanotic Congenital Heart Disease* Murmur in the Newborn (<48 hrs) Pathological murmur Benign murmur* Peripheral Pulmonic Stenosis Pulmonary flow murmur 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 Murmur: Clinical Approach to Murmur in the Newborn *Indicates Key Condition This is not an exhaustive list of medical conditions. No Atrial septal defect Ventricular septal defect Coarctation of the Aorta Aortic stenosis Pulmonary stenosis Arteriovenous malformation Detailed history and physical exam Harsh or diastolic murmur Cyanosis or hypoxia Abnormal or absent pulses Upper limb blood pressure >20mmHg above lower limb BP Clinically unwell or unstable Sudden deterioration Yes

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