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Venous Hum — RACP Paediatrics MCQ

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EasyCardiologyVenous HumRACP Paediatrics

A 4-year-old child has a continuous murmur over the neck that disappears when lying down or with gentle compression of the ipsilateral internal jugular vein. What is the diagnosis?

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Correct answer: D — Venous hum

A venous hum is an innocent continuous murmur heard over the supraclavicular/neck area that disappears with lying down, turning the head, or gentle compression of the IJV. It is caused by turbulent flow in the internal jugular vein. No investigation or treatment is needed.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Heart Murmurs