Exam 3, Dr Dow, Peds Flashcards
What are the TORCH group
toxo other: syphilis, varicella-zoster, parvovirus B19, HIV rubella cytomegalo HSV
What are buzzwords for infant with cardiac issues
diaphoresis and tachypnea with feeding
exertion
What is holt oram
defects or absence of thumb or radius
have ASD or VSD
what is acrocyanosis
cyanosis in extremities
What is coloboma
missing part of eye and eyelid
is a wide and fixed split S2 normal in kids
no
What are characterizations of innocent child murmurs
low pitched, non-turbulent, no highg velocity
What are sounds of suspicious heart murmurs in hchildren
high pitched
harsh
S1 holosystolic
What is Stills murmur
low pitched LSB(musical)
between age 3 and adolesence
no clicks
what is a venous hum
low pitched continuous from blood returning to heart
use bell
what is pulmonary flow murmur
ULSB high pitched, diaphragm
benign peripheral pulm stenosis
prominent in high flow situations like fever and anemia
What is Saturation levels in heart
70 on R
100 on L
Downs involves what type of cardiac defects
endocardial cushion defect
VSD
Turners patients have what cardiac defects
coarctation, AS, ASD
What is NOONAN
male version turners
What cardiac defects can occur with fetal alcohol syndrome
VSD, PDA, ASD, TOF
What are the 5 Ts of cyanotic congenital Herat disease
tetralogy of fallot transposition of great aa TAPVR truncus arteriosus tricuspide atresia
What is the most likely Dx in a severely cyanotic neonate within hours of birth
transposition of great vessels
neonate has CXR looks like snowman what is it
TAPVR
rib notching on CXR in infant is most likely what
coarctation
what are the top causes of myocarditis in children
viral: coxsackie, echo, poliomyelitis, mumps, rubella, CMV, HIV
what are EKG changes in myocarditis
ST changes, prolonged QT
arrhythmias
What do you see in lab work for myocarditis
PCR to see viral genome of myocardial cells
Tx for infant myocarditis
IV Ig
