Welcome to training on Pediatric Murmurs, provided by the Texas Department of State Health Services (DSHS) and Health and Human Services Commission (HHSC).
Please review these three scenarios.
Scenario 1: A six-month-old infant presents for a well-child check. This is a vigorous baby with no concerning medical history, is pink and well perfused, and has normal vital signs. A heart murmur was noted. This is the first time a heart murmur had been commented upon in the medical record.
Scenario 2: A six-month-old infant presents for a well-child check. The child is poorly nourished and has "always had difficulty feeding." She is tachypneic. Her saturations are 98%. She has non-specific dysmorphic features. A heart murmur was noted for the first time on this evaluation. The remainder of examination was otherwise unremarkable.
Scenario 3: A six-month-old infant presents for a well-child check. The infant is pink and well perfused. She has had a relatively benign past medical history. Her growth has been adequate. Her vital signs are stable, although blood pressure could not be obtained because the infant was agitated. A murmur was noted for the first time. Lower extremity pulses were diminished.
Which infant has the more urgent need for pediatric cardiologist evaluation? Please choose your answer:
The goal of this module is to educate Texas Health Steps (THSteps) providers and others who care for pediatric and adolescent patients. The providers should be able to identify pathologic heart murmurs that require consultation for diagnosis and treatment by a pediatric cardiologist.
Texas Health Steps providers and others, including Physicians, Physician Assistants, Nurses, and Nurse Practitioners.
After completing the activities of this module, you will be able to:
External links in this course are current as of 6/2009. These links may be bookmarked for future reference.
Please note this module expires in 12/18/2010.
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This module includes a pre- and post-test. Both tests need to be completed for you to receive a certificate of completion, and you must score a 75% on the post-test to pass. After you complete the post-test, you will be asked to evaluate your training experience, and you will be provided with information about securing continuing education credit. Click below for your certificate.
One of the requirements of continuing education is disclosure of the following information to the learner:
The following are policies and definitions of terms related to continuing education disclosure:
The intent of disclosure is to allow Department of State Health Services (DSHS) Continuing Education Service the opportunity to resolve any potential conflicts of interest to assure balance, independence, objectivity and scientific rigor in all of its Continuing Education activities.
All faculty, planners, speakers and authors of Department of State Health Services (DSHS) Continuing Education Service sponsored activities are expected to disclose to the Department of State Health Services (DSHS) Continuing Education Service any relevant financial, relationships with any commercial or personal interest that produces health care goods or services concerned with the content of an educational presentation. Faculty, planners, speakers and authors must also disclose where there are any other potentially biasing relationships of a professional or personal nature.
Conflict of Interest – Circumstances create a conflict of interest when an individual has an opportunity to affect Continuing Education content about products or services of a commercial interest with which she/he has a financial relationship or where there are any other potentially biasing relationships of a professional or personal nature.
Commercial Interest – Any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.
Financial Relationships – Those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, teaching, membership on advisory committees or review panels, board membership, and other activities for which remuneration is received or expected. Relevant financial relationships would include those within the past 12 months of the person involved in the activity and a spouse or partner. Relevant financial relationships of your spouse or partner are those of which you are aware at the time of this disclosure.
Off Label – Using products for a purpose other that that for which it was approved by the Food and Drug Administration (FDA).