Congenital heart disease Flashcards
Esienmenger disease can develp in?
Ventral septal defect
What are the ventral septal defects clincal findings?
Pan systolic murmr
Parastrenal systolic thrill
Echo is the diagnosis tool
When symptoms of LT-to-RT shunt start ?
After 4-6 week of birth
What are the symptoms of L-R shunt defects?
SOB
Fatigue
Excessive scalp sweeting
Repeated chest infection
What are the pathogomonic findings in atreial septal defect ?
Fixed split second heart sound
Soft basal ejection systolic murmur
Right axis deviation (RAD) and right bundle branch block (RBBB) in EKG
What are Mangement of ASD?
Spontaneous closure
Interventional closure
Surgery
Patent ductus arteriosus (PDA)
What are the pathogomic findings ?
Continuous murmur at the base of hearr
Bounding pulse with wide pulse pressure
Mangment of PDA?
Interventional occlusion (coil) Surgical ligation
50 % of down syndrome kids have_______ and 50% of those have _______
50% of down syndrome have CHD
And 50% of those have AV canal defect
What are the pathophysiology of obstuctive heart diseases ?
Decrease cardiac output
Hypertrophic cardiomyopathy and CHF
What are the symptoms of obstructive heart disease?
Chest pain
Fainting
Claudication
Exertional dyapnea
What are the Clinical findings in coarctation of aorta?
CHF if severe
Low PB
Weak n absent pulse in lower limb
Hypertention of uperlimb
Pulmonary stenosis clinical findings?
Exertional dyspnea
Cheat pain
Right ventricular hypertrophy
Harsh basal ejection systolic murmur
Precordial bulge or heave
What js the management of pulmonary stenosis ?
Balloon valvuplasty
What are the cyanotic heart disease that are associated with increased pulmonary blood flow ?
TGA
Truncus Ar
TAPVR
SV
What are the cyanotic heart diseAses that are associated with decreased pulmonary blood flow ?
TOF
TA
PA
Epistein anamoly
What is tetralogy of fallot ?
VSD
Overriding aorta
Pulmonary stenosis
Right ventricular hypertrophy
What are Tetraolgy of fallot clinical presentation?
1-Cyanosis 2-Finger toe clubbing 3-Sqautting postion 4-Hyper cyanotic spells 5-Polycythemia 6-Brain abscess and CVA 7-Boot shape CXR 8-Precordial bulge and heave 9- harsh basal eject systolic murmur
Tetralogy of fallot mangement
Morphine
Propanalol
Oxygen 100%
Phlebotomy
Iron supplements
Sugrey
Transpstion of great artreis (TGA)
Clinical profile ?
Cyanosis after birth
Cardio megally
Congested lung
Gardual respiratory distress
CHF
Mangement for transpostion of great artreis ?
Prostaglandins infusion
Sugrey
