ARTHRITIS AND HEART MURMUR

ARTHRITIS AND HEART MURMUR

Arthritis and heart murmur

Subacute bacterial endocarditis

Cardiac myxoma

Ankylosing spondylitis

Reactive arthritis

Acute rheumatic fever

Rheumatoid arthritis

Systemic lupus erythematosus with Libman-Sack endocarditis

Relapsing polychondritis

/p> � A p c � 葊 ormal>Gastrointestinal

Oral lesions (e.g., thrush or herpes simplex)

Gastroesophageal reflux

Obstruction (especially with gastric or intestinal distention)

Inflammatory bowel disease

Celiac disease

Constipation

Cardiac

Congestive heart failure (especially associated with cyanotic lesions)

Metabolic

Renal failure and/or renal tubule acidosis

Liver failure

Congenital metabolic disease

Lead poisoning

Nutritional

Marasmus

Iron deficiency

Zinc deficiency

Fever

Rheumatoid arthritis

Rheumatic fever

Drugs

Morphine

Digitalis

Antimetabolites

Methylphenidate

Amphetamines

Miscellaneous

Prolonged restriction of oral feedings, beginning in the neonatal period

Systemic lupus erythematosus

Tumor

Psychologic Factors

Anxiety, fear, depression, mania (limbic influence on the hypothalamus)

Avoidance of symptoms associated with meals (abdominal pain, diarrhea, bloating, urgency, dumping syndrome)

Anorexia nervosa