Cardiac Long Case Flashcards
1
Q
Complication congenital heart disease to think about in management for long case
A
Developmental delay
Nutrition - consider if on fluid restriction, iron deficiency, requirements additional calories
Dental procedure - consider prophylaxis
Infections - risk fever causing cardiac decompensation (increase metabolic demand) - sick day plan
Cerebral abscess
Exercise restriction
Pregnancy - risk if certain cardiac conditions e.g. pulm HTN, consider teratogenic drugs
Genetic counselling
Side effects medication -
2
Q
Marfan
A
Mitral valve prolapse/regurgitation Ascending aorta dilation Scoliosis Hypermobility Myopia (near sightedness)
Annual ECHO
Annual opthal
Avoid strenuous exercise
3
Q
Noonan
A
Learning disability HOCM, RVOT, pulmonary artery stenosis Risk JMML Widely spaced nipples / web neck Short stature
4
Q
DiGeorge 22q11
A
Cardiac - conotruncal (truncus, TOF, coarct, ODA, ASD) Thymic hypoplasia/aplasia - immunodeficiency Cleft palate Hypocalcaemia Hearing loss Hypotonia Hypoparathyroidism Low IQ
CXR
ECHO
Ca2+ PTH, TSH, FBE
5
Q
Williams
A
Ch7 deletion Elfin facies, over friendly Peripheral pulmonary stenosis Hypercalcaemia HTN Nephrocalcinosis SNHL Constipation, diveticulosis, coeliac
ECHO
Ca2+ PTH TSH
Audiology
6
Q
Cardiac transplant
A
Rejection of transplant Early infection Side effects immunosuppression HTN PTLD Osteoporosis Psychological issues
