CLIPP 18

Question 1

Is a normal liver edge palpated in a young infant? If so, by how much?

Answer 1

yes

1-2 cm below te right costal margin

Question 2

what does pulmonic stenosis murmur sound like?

Answer 2

prominent systolic ejection click after S1

Harsh ejection murmur

Question 3

What are classic findings of CHF in an infant? (5)

Answer 3

dyspnea with feeding
diaphoresis
poor growth
active precordium
hepatomegaly

Question 4

name 4 heart defects that can cause CHF

Answer 4

VSD

severe aortic stenosis

coarctation of the aorta

Large patent ductus arteriosus

Question 5

Why are VSD murmurs typically not heard in the nursery?

Answer 5

it takes time for their pulmonary system pressure to drop. As the right sided pressure drops, the murmur becomes noticable

Question 6

name 3 medications used to treat CHF

Answer 6

furosemide
digoxin
Enalapril

Question 7

What is a differential diagnosis of respiratory distress and feeding difficulty in an infant?

Answer 7

CHF
Respiratory infection
Sepsis
Metabolic disorder