Cardiovascular paediatrics Flashcards

1
Q

Most common congenital heart defects

A

VSD
PDA
ASD
Pulmonary stenosis

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2
Q

VSD

A

Ventricular septal defect

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3
Q

PDA

A

Patent ductus arteriosus

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4
Q

ASD

A

Atrial septal defect

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5
Q

Sx of babies with congenital heart defects

A
SOB
Poor feeding
Cold peripheries
Sweating
Cyanosis
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6
Q

Sx of children with congenital heart defects

A

Poor exercise tolerance

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7
Q

Features of Innocent murmurs

A

Soft
Systolic
Asymptomatic
Left Sternal edge

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8
Q

Mx of Innocent murmurs

A

Nothing, they are physiologically normal

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9
Q

Categories of congenital heart defects

A
Left to right shunt
Right to left shunt
Mixed
Well children with obstructions
Sick children with obstructions
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10
Q

Sx of Left to right shunts

A

Breathless

Pink

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11
Q

Left to right shunts

A

VSD
ASD
PDA

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12
Q

Sx of right to left shunts

A

Cyanosis

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13
Q

Right to left shunts

A

Tetralogy of Fallot

TGA (transposition of the Great arteries)

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14
Q

Sx of mixed defects

A

Breathless

Cyanosis

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15
Q

Mixed defects

A

AVSD

Complex defects

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16
Q

Defects of well children with obstructions

A

AS

PS

17
Q

Defects of sick children with obstructions

A

Aortic coarctation

18
Q

Signs of heart failure

A

Hepatomegaly
Tachypnoea
Displaced apex
Apical diastolic murmur

19
Q

Mx of VSD

A

Operate at 3 months before pulmonary HTN

20
Q

Presentation of Left to right shunt

A

No Sx on first day of life due to high pulmonary resistance initially

21
Q

Presentation of right to left shunt

A

Day 1-3

Duct dependent

22
Q

Mx of right to left shunt

A

Prostaglandin E2 - keeps ductus arteriosus open
Balloon arterial septostomy of PFO
Later, repairative surgery

23
Q

Dose of prostaglandin

A

5 ng/kg/min

24
Q

Presentation of aortic coarctation

A

Day 2 when duct closes

Absent femoral pulses

25
Q

Mx of aortic coarctation

A

Blood gas
Ventilate
Prostaglandin E2
Coarctation repair

26
Q

Which congenital heart defects is Downs ass with

A

AVSD

VSD

27
Q

Which congenital heart defects is Edwards (18) ass with

A

VSD

28
Q

Which congenital heart defects is turner ass with

A

coarctation

29
Q

LQTS mx

A

B blockers + K supplements

30
Q

Ebstein’s anomaly

A

ass with Lithium use in pregnancy

Both systolic + diastolic murmer