cardio - 10% Flashcards
describe the murmur with ASD
systolic, crescendo-decrescendo, pulmonic area
describe the murmur with coarctation
systolic, radiating to back/chest
describe the murmur with PDA
continuous, machinery, pulmonic area
describe the murmur with TOF
holosystolic, harsh, LUSB
describe the murmur with VSD
holosystolic, loud/high-pitched/harsh, LLSB
describe the murmur with hypertrophic CMP
systolic, harsh crescendo-decrescendo, LLSB
increases w valsalva/standing (dec venous return)
what is the diagnostic method of choice + treatment of choice for ASD
echo, surgery if sx (2-4yo)
what is the diagnostic method of choice + treatment of choice for coarctation
angiogram, surgery (PG pre-op)
what is the diagnostic method of choice + treatment of choice for PDA
echo, IV indomethacin ā> surgery (1-3yo)
what is the diagnostic method of choice + treatment of choice for TOF
echo, surgery (PG pre-op) w/i 4-12mo
what is the diagnostic method of choice + treatment of choice for transposition of the great vessels
echo, surgery (PG pre-op)
what is the diagnostic method of choice + treatment of choice for VSD
echo, surgery if large/sx (by 2yo)
what is the diagnostic method of choice + treatment of choice for hypertrophic CMP
echo, ICD placement + BB (CCB 2nd line)
alcohol septal ablation/myomectomy if refractory
what is the diagnostic method of choice + treatment of choice for acute rheumatic fever
jones criteria (2 major or 1 major + 2 minor), pen G (e-micin if allergic) + aspirin (steroids if severe)
what is the diagnostic method of choice + treatment of choice for kawasaki disease
Warm CREAM; IVIG + high-dose aspirin
eisenmengers
in TOF, PDA, VSD
pulmonary pressure > systemic pressure D/T Lā>R shunting
asx at rest but cyanosis/DOE/CP/syncope during exercise
clubbing/cyanosis of toes