A detailed clinical flowchart titled "Examination of a Patient with Heart Murmur" showing the complete diagnostic approach. The flowchart starts at the top with "Presence of Cardiac Murmur" and branches into two main paths: Systolic Murmur (left) and Diastolic or Continuous Murmur (right). For Systolic Murmur, it further branches into: - Grade I–II, midsystolic → check symptoms → if Asymptomatic with no associated findings → Normal ECG and Chest X-ray → No further workup - Grade III or higher, holosystolic or late systolic → leads to Echocardiography If Other signs/symptoms of cardiac disease or Abnormal ECG/Chest X-ray → leads to Echocardiography → Cardiac consult if appropriate For Diastolic or Continuous Murmur: always leads directly to Echocardiography → Cardiac consult if appropriate Include a side box listing key murmur characteristics to assess: Timing, Duration, Intensity (Grade I–VI), Quality, Frequency, Configuration, Location, Radiation. Include another side box for Dynamic Auscultation maneuvers: Valsalva, Squatting, Rapid standing, Hand grip, Inspiration/expiration. Clean, professional medical flowchart style with blue and white color scheme, clear arrows, and labeled boxes.