differential diagnosis

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The differential diagnosis of this condition includes :-

  • aortic cusp sclerosis - there is a soft ejection murmur. However there is a normal carotid pulse and no left ventricular hypertrophy unless there is systemic hypertension present.

  • ejection murmurs in normal children - these are quite common in thin children and young adults and are heard as a short, low frequency, soft or moderately loud, mid-sytolic murmur over the right ventricular outflow tract (pulmonary area and lower left sternal edge).

  • mitral regurgitation - both of these murmurs may be maximal at the apex. Also A2 may be inaudible in aortic stenosis due to calcification of the aortic valve.

Last reviewed 01/2018