19.6.2013(pediatrics)42 Flashcards
Ductal vasoconstrictors
Oxygen
Endothelins
Benedict’s test can detect
All monosaccharides
Fructose
Ductus closure
In term infants
80% by 48 hours
100% by 96 hours
Anatomical closure of ductus
1-3months
$ Hemodynamic consequences of PDA
CO2 retention
Hyperdynamic circulation
Bounding pulses(wide pulse pressure)
Pulmonary Edema/hemorrhage
Neonatal behavioural assessment scale
1 deep sleep 2 light sleep(REM) 3 drowsy 4 quiescent alert 5 active alert 6 crying
Megacystis megaureter is common in
Males
Grades of vesicoureteral reflex
1 reflux into non dilated ureter
2 reflux into upper collecting system,ureter not dilated
3 blunting of calyces,ureter dilated
4 reflux into grossly dilated ureter
5 massively dilated ureter,tortuous,absent papillary impression
Drainage of ureter in duplication
Lower pole ureter drains superolaterally
Mode of inheritance of VUR
Autosomal dominant
Secondary causes of VUR
Neuropathic bladder
Sacral agenesis
Meningomyelocele
Posterior urethral valve
VUR is common in
Females
Investigation for VUR
Voiding cystourethrogram
Types of reflux in VUR
Passive(during bladder filling)
Active(during voiding) good prognosis
Signs of pulmonary hypertension
Loud P2 Single S2 Pulmonary ejection click Parasternal heave Graham steel murmur