Cardiac Eval in Children Flashcards
Heart disease in a newborn has a greater effect on height or weight?
WEIGHT
respiratory distress child look?
cyanotic heart disease child look?
- they arent happy
- happy cyanosis
Marfan syndrome
-issue?
tall lanky with chest (pectusextravaum or pectus caverantum or whatever); hyperflexible
- aortic root dilation
- aortic dissection
Noonan Syndrome
-issue?
wide space eyes and nipples; sheild chest, short, mentally delayed
- pulmonary stenosis
- atrial septal defect
Williams syndrome
-issue?
elastin gene defect=stiff arteries
-supravalvar aortic stenosis
Muscular dystrophy
-issue?
-dilated cardiomyopathy
Long QT syndrome
Torsades
Mucopolysaccharidoses
abnormal protein and glycogen deposits on heart
Ejection type murmur sound:
-crescendo and then decreshendo
Pansystolic murmur sound:
pshhhhhhhhh - constant
What is the only innocent murmur?
a systolic vibratory murmur
Grade 1 Heart murmur:
-barely audible
Grade 2 heart murmur
soft, but audible
Grade 3 hear murmur:
moderately loud with NO THRILL
Grade 4 murmur:
loud WITH PALPABLE THRILL
Grade 5 murmur:
audible with stethoscope 45% angle
Grade 6 murmur:
audible with stethescope off chest
Systolic Ejection murmurs-name them
- aortic stenosis
- subvalvar or supravalvar aortic stenosis
- pulmonary stenosis
- branch pulmonary artery stenosis
- tetralogy of fallot
- coarctation of the aorta
Systolic Regurgitant murmurs-name them:
- ventral septal defect
- atrioventricular septal defect
- mitral regurg
- tricuspid regurg (difficult to hear unless there is HTN)
diastolic murmurs-name them:
- aortic insufficiency
- pulmonary insufficiency (difficult to hear unless there is HTN)
- mitral stenosis
continuous murmurs-name them
- aortopulmonary or arteriovenous connection (patent ductus arteriosus; systemic to PA shunt (s/p surgery)
- disturbed venous flow (venous hum) (common in children)
- disturbed arterial flow (rare in children)
