congenital heart disease Flashcards

1
Q

teratology of fallot and TGA happen

A

before 30 days gestation

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2
Q

most common and significant heart abnormality is

A

VSDs

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3
Q

cyanotic congenital heart disease points to

A

teratology of fallot with right to left shunt

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4
Q

4 features of teratology of fallor

A
  • pulmonary stenosis
  • VSD
  • overriding aorta
  • Right VH
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5
Q

Right to left shunting leads to

A

under-perfused lungs

  • reduced oxygenation
  • cyanosis
  • systemic hypoxemia
  • polycythemia
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6
Q

when does Acyanotic heart disease occur?

A

initially with left to right shunts -

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7
Q

no cyanosis
edema and congestion
-

A

Atrioventricular septal defect - with left to right shunting

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8
Q

what happens in the left to right shunt

A
  • overperfused lungs!!

- cyanosis develops later -

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9
Q

common left to right shunts include

A
  • PDA
  • ASD
  • VSD
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10
Q

large left to right shunts can cause

A

heart failure

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11
Q

Late consequences of left to right shunts include

A

pulmonary hypertension and right heart failure

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12
Q

cyanotic heart lesions include

A

T of F

  • TGA
  • Pulmonary atresia
  • tricuspid atresia
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13
Q

hypoplastic left heart syndrome includes

A
  • aortic valve atresia
  • small LV
  • mitral valve atresia
  • hypoplasia of ascending aorta
  • ASD, PDA
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14
Q

hypoplastic left heart syndrome is

A

Ductus dependent

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15
Q

when lower body shows cyanosis and upper body has normal color suggests

A

coarctation of the aorta

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16
Q

infantile type of coarctation of the aorta is

A

pre-ductus