ill child - CV

Question 1

Hypoplastic left heart syndrome

Answer 1

Underdevelopment of the left side of the heart
Usually results in an **absent or nonfunctional left ventricle **and hypoplasia of the ascending aorta
Can be diagnosed before birth and infant is placed on a heart transplant list early

Question 2

Rheumatic Fever (RF)

Answer 2

group A beta hemolytic streptococcus

Question 3

ASO

Answer 3

Elevated antistreptolysin O Titer

Question 4

May not occur for 1- 6 weeks after strep infection
Classic:** migratory **polyarthritis (wandering joint pains)
Skin eruptions
**Chorea **(nervous disorder)
Heart inflammation
Abd pain
Fever

Answer 4

Rheumatic Fever S/Sx

Question 5

Modified Jones Criteria

Answer 5

Major Criteria
Joint (arthritis)
Obvious carditis
**Nodules **(subcutaneous)
Erythema marginatum
Sydenham’s chorea

Question 6

**Kawasaki **Disease

Answer 6

= mucocutaneous lymph node syndrome

Question 7

aneurysm

Answer 7

an abnormal dilation of the wall of a blood vessel

Question 8

Manifestations
Onset is abrupt with a sustained fever
As high as 104º F (40º C)
Does not respond to antipyretics or antimicrobials
Fever lasts for more than 5 days
Conjunctivitis without discharge
Fissured lips
A “strawberry tongue”
Inflamed mouth and pharyngeal membranes
Enlarged nontender lymph nodes

Answer 8

Kawasaki Disease