Cardiac Exam Flashcards
ESM differentials
Radiates to back
RVOT obstruction!
- No scar: Pulm stenosis
- Scar: critical PS post valvulotomy, TOF, pulm atresia/VSD, truncus arteriosus, post Ross procedure for critical AS
Radiates to aortic area
Aortic / LVOT stenosis!
- No scar: Rheumatic AoV disease. Congenital: supravalvular AS, bi or unicuspid AoV, HOCM
- Scar: repairs of above
ESM
Loudest pulm area
Radiates to back
Radiates to back
RVOT obstruction!
- No scar: Pulm stenosis
- Scar: critical PS post valvulotomy, TOF, pulm atresia/VSD, truncus arteriosus, post Ross procedure for critical AS
ESM
Loudest pulm area
Radiates to aortic area
Aortic/ LVOT obstruction
- No scar: Rheumatic AoV disease. Congenital: supravalvular AS, bi or unicuspid AoV, HOCM
- Scar: repairs of above
Pansystolic murmur
Loudest mitral
Radiates L axila —> loudest L lat
VSD
MV cleft
Partial AVSD
Rheumatic MV disease
Scar
- rheum MV post repair
- congenital repaired: AVSD, MV cleft, post ALCAPA, MS
ALCAPA
Anomalous L coronary artery from the pulmonary artery
presents at around 8 weeks of age with symptoms of ischemic cardiomyopathy. During this time, the infant develops a drop in pulmonary vascular resistance, and results in infarction in the left ventricle (LV).
PANSYSTOLIC MURMUR post surg
What makes up a TOF?
Collapsing pulse = ?
Aortic incompetence
Radio-radial or radio- femoral day=?
CoA repair
Single S2
No murmur
CYANOTIC
UNIVENTRICULAR PATHOLOGY
HLHS
HRHS
Double inlet LV
Unbalanced AVSD
Severe Ebstein’s anomaly
What is an unbalanced AVSD?
Instead of separate mitral and tricuspid valve inlets, a common AVV has a single inlet into the ventricular chambers. When this common AVV opens predominantly toward one ventricle or the other, an unbalanced AV canal AV septal defect forms.
Repair for unventricular pathology
Week 1 of life: Norwood procedure
3-6 months: Glenn procedure
2-5 years: Fontan procedure
