CVPR Week 9: Congenital Heart Disease cases

Question 1

Describe the normal pediatric circulation

Answer 1

Question 2

Question 1

Question 3

If you have a hole in the heart what affects shunt flow?

Answer 3

• Pressure - flows moves down a pressure gradient
• Resistance - impedance to blood flow

Question 4

What is the most likely diagnosis & why?

A. Transposition of the great arteries

B. Atrial septal defect

C. atrioventricular septal defect

D. tetralogy of Fallot

E. coarctation of the aorta

Answer 4

Question 5

12 year old girl with

Question 6

Describe the blood flow of an atrial septal defect

Answer 6

Question 7

What is the best management course for atrial septal defect?

Answer 7

Question 8

Atrial septal defect clinical features

Answer 8

Question 9

What is Eisenmenger’s Syndrome?

Answer 9

Question 10

Baby with a murmur

Answer 10

Question 11

What are the differentials?

Answer 11

Question 12

Baby CXR

what is the next test to order?

Answer 12

ECHO

Question 13

Baby ECHO

Answer 13

Question 14

Describe AV septal defect

Answer 14

Question 15

Describe the difference in blood flow of ASD and VSD

Answer 15

Question 16

Effects on heart of VSD and ASD

Answer 16

Question 17

Describe AV septal defect

Answer 17

Question 18

What is the management of VSD and mild inlet ASD?

Question 19

L->R shunts AKA

Answer 19

Acyanotic CHD

Question 20

L->R shunts CHDs

Answer 20

Question 21

PDA vs VSD

Answer 21

Question 22

Describe ASD

Answer 22

Question 23

AV septal defect can present as?

Answer 23

either depending on size of ASD & VSD component

Question 24

What is the most likely diagnosis

1. Essential hypertension
2. Ventricular septal defect
3. atrial septal defect
4. coarctation of the aorta
5. renal artery stenosis

Answer 24

Coarctation of the aorta

Question 25

What is this?

Answer 25

Question 26

Describe coarctation of the aorta

Answer 26

Question 27

What is the Tx of coarctation of the aorta?

Answer 27

Question 28

Ductal dependent obstructive lesions

Answer 28

Question 29

Non-ductal dependent obstructive lesions

Answer 29

Question 30

What is this?

Answer 30

Question 31

How is tetralogy of fallot Dx

Answer 31

Question 32

What are these?

Answer 32

Question 33

Features of tetralogy of Fallot

Answer 33

Question 34

Why is there no murmur?

Answer 34

too little pulmonary blood flow

Question 35

What are the components of tetralogy of fallot?

Answer 35

Question 36

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Answer 36

pulmonary stenosis

Question 37

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Answer 37

coarctation of the aorta

Question 38

Question

Answer 38

Tetralogy of Fallot

Question 39

Question

Answer 39

Over-riding aorta

Question 40

Question

Answer 40

Atrioventricular septal defect

Question 41

Question

Answer 41

Coarctation of the aorta

Question 42

Question

Answer 42

High caloric feeds, diuretics and plan surgical repair

Question 43

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Answer 43

The right atrium and right ventricle will dilate

Question 44

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Answer 44

Cardiac catheterization for hemodynamics