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NMF: Paediatrics > CHD > Flashcards

CHD Flashcards

1
Q

What is coarctation of the aorta?

A

narrowing of the aorta near to the PDA

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2
Q

How does coarctation present in childhood?

A

circulatory collapse around day 3 when PDA closes
radiofemoral delay
weak peripheral pulses

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3
Q

Which genetic condition is associated with coarctation?

A

Turner’s syndrome

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4
Q

How does coarctation present in adulthood?

A

hypertension

CXR showing rib notching

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5
Q

How is coarctation managed?

A

prostaglandins + surgery

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6
Q

How does an atrial septal defect present?

A

ejection systolic murmur
failure to thrive
breathlessness

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7
Q

How is atrial septal defect managed?

A

small may close on its own

surgical closure if large

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8
Q

Which genetic conditions are associated with ventricular septal defect?

A

downs, pataus, edwards

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9
Q

How does VSD present?

A

pansystolic murmur
asymtomatic
failure to thrive
heart failure + pulmonary hypertension

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10
Q

How is VSD managed?

A

ACE-i, diuretics and surgery

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11
Q

What are the 2 cyanotic congenital heart diseease?

A

tetralogy of fallot

transposition of the great vessels

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12
Q

Cyanosis in the first 24hr indicates what?

A

transposition

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13
Q

Cyanosis at 2/3 weeks suggests what?

A

tetralogy

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14
Q

What makes up tetralogy of fallot?

A

Ventricular septal defect (VSD)
Pulmonary stenosis (PS)
Right ventricular hypertrophy (RVH)
Overriding aorta

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15
Q

What CXR finding is classic of tetralogy ?

A

boot shaped heart

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16
Q

How is tetralogy managed?

A

oxygen + morphine
beta blockers
surgery before 1 yr

17
Q

What is transposition of the great vessels?

A

switching place of aorta and pulmonary artery so the circulations cannot mix

18
Q

How does transposition of the great vessels present?

A

cyanosis in first 24hrs

right ventricular heave

19
Q

How is transposition of the great vessels managed?

A

prostaglandins

surgery before 4wks

NMF: Paediatrics (6 decks)

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