CARDIAC Dr. Zampaga Flashcards

1
Q

When will you say if there is hypervasculairity?

A

Monocle sign
Dilated vessels with distinct margins
Increased Ratio

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2
Q

What are the Non-Cyanotic Shunt anomalies?

A

ASD
VSD
PDA

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3
Q

What are the steps to look for assessing the heart?

A

Pulmonary vascularity
Cardiac enlargement:
LV?
RV?
LA?
RA?

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4
Q

Non-cyanotic patient

Diagnosis?

A

ASD with right RA enlargement

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5
Q

Non-cyanotic patient

Diagnosis?

A

Pulmonary Vascularity increased?
Yes
LV? - Yes

VSD

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6
Q

Non-cyanotic patient

Diagnosis?

A

+ Pulmonary vascularity
+ LV enlargement

DX?: PDA

How is it diff from LV?
Prominent Aorta

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7
Q

ASD is common in what age group?

A

Adults/early adults

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8
Q

VSD is common in what age group?

A

Children

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9
Q

PDA is common in what age group? why?

A

Children and adult

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10
Q

Diagnosis?

A

TGA

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11
Q

Diagnosis?

sign?

A

TAPVR Type I (Supracardiac)

Type II has no snowman appearance

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12
Q

Diagnosis?

A

Truncus Type II or III
(Concve MPA)
+ Right sided aorta

Type I have convext MPA

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13
Q

Right sided aorta + Hpyervasuclarity =

A

Truncus

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14
Q

How mayn % does truncus will have right sided aorta?

A

35%

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15
Q

What are the hypervascular Cyanotic conditions?

A

TGA
TAPVR Type I
Truncus

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16
Q

When to say if there is hypovascularity?

A

Generalized Hyperlucency (pulmonary oigemia)

17
Q

Diagnosis?

Main Pathology?

A

Decreased Vascularity

TOF

Main pathology: PS
Small/stenotic valve = concavity of MPA –> obstruction to the outflow = increased pressure of the RV (rounding of the cardiac apex - boot shaped heart)

+ VSD
+ Overriding of the aorta (receive blood from RV and LV) = prominent aorta

18
Q

Diagnosis?

A

Hypovascular
Rounding of Cardiac Apex (LV hypertrophy)
Aorta = Right sided, prominent

DX: TOF

19
Q

How many % does TOF has a right sided aorta?

A

25%

20
Q

Right sided aorta + Normal vascularity =

A

Isolated Right-sided aorta

21
Q

Diagnosis?

A

Pulmonic stenosis with PSD (post stenotic dilatation) -

22
Q

Diagnosis?

A

Ebstein Anomaly (Boxed shaped heart)

Box = RA + Remnant RV (

23
Q

What are Cyanotic CHD with diminished vascularity?

A
24
Q

What is the next step when you see dextrocardia?

A

Stomach bubble and Liver shadow = sintus inversus totalis

25
Q
A