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Pedi > MCC > Flashcards

MCC Flashcards

1
Q

Ce malformatii NU sunt CIANOGENE?

A

Cu sunt stanga-dreapta

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2
Q

Cu ce se asociaza DSV? (MCC necianogena)

A

Cu sdr Down sau Tetralogie Fallot

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3
Q

Ce urmari are DSV?

A

HTP
Creste volumul in VD si creste si presiunea=> creste presiunea la nivel pulmonar

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4
Q

Ce sdr apare cand in DSV se inverseaza suntul?

A

Sdr Eisenmenger ( din sunt stanga-dreapta se inverseaza in sunt dreapta-stanga)
Apare cianoza

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5
Q

Ce apare la eco in SDR DOWN?

A

hiperlucenta nucala (fluidul din spatele gatului)
Asociata cu anomalii genetice

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6
Q

Hiperlucenta nucala la ecografie este urmata de..? Ce investigatie

A

Amniocenteza

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7
Q

Ce gena e implicata in SDR DOWN si malformatii cardiace?

A

DSCR1

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8
Q

Simptome DSV sever

A

Transpiratii, paloare, tahipnee
Tahicardie, hepatomegalie, falimentul cresterii
IC congestiva
FARA CIANOZA, murmur holosistolic prezent

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9
Q

Ce investigatii se fac la DSV?

A

EKG (hipertrofie VD, R mari in V1, V2, unda P pulm)
Eco!!!
rx toracica

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10
Q

DSV tratament

A

Chirurgical daca exista DSV cu:
Stenoza pulmonara, regurgitare aortica
HTP daca DSV e larg

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11
Q

Mecanism PDA

A

Sangele trece din aorta in artera pulm dr

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12
Q

Ce favorizeaza PDA?

A

Prostaglandinele E2

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13
Q

Cu ce anomalii genetice se asociaza PDA?

A

Trisomia 21(down), 18(Edwards) si 13(Patau)

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14
Q

Cu ce se asociaza PDA in perioada prenatala?

A

Diabet gestational (glucoza si insulina fetala)
Mg (asta face vasodil)
Cocaina
Blocante canale de Ca (Ca e un la constrictie)

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15
Q

Cu ce se asociaza PDA in perioada neonatala?

A

Prematur
Sdr de detresa respiratorie
Sepsis neonatal
Adm de fluide in exces
Daca se naste la alt mare
Diuretice de ansa
Aminoglicozide
Cimetidina, heparina

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16
Q

Cum se trateaza PDA?

A

Tratament cu :indometacina, ibuprofen, paracetamol ptc inhiba COX care produce PGE2
Sau chirurgical

17
Q

Care e riscul la prematuri de a avea PDA?

A

La 1/4 prematuri apare PDA

18
Q

Simptome DSA

A

Dispnee la efort
Oboseala
Palpitatii
Edeme
Murmur
AVC (embolism paradoxal, emobolul trece din AD->AS si dupa in circ sistemica)
Infectii pulmonare frecvente (ptc apare HTP si e fav stagnarea sangelui si e mediu propice pt dezvoltarea bacteriilor)

19
Q

Tipuri de DSA

A

Primar-cel mai frecvant, orificiu la mijloc
Secundum- in partea inferioara a sept
Sinus venosus-in apropierea VCS
Sinus coronarian

20
Q

Malformatiile CARDIACE sunt:

A

Cu sunt stg/dr NECIANOGENE
Cu sunt dr/stg CIANOGENE
NU COARCTATIA DE AORTA CA E VASCULARA!!!!

21
Q

Malformatii VASCULARE congenitale

A

Coarctatia de aorta

22
Q

Ce simptome sunt caracteristice pt cele cianogene?

A

Cianoza buzelor, urechilor, membrelor in periferie

23
Q

Care e semnul caracteristic pt hipoxia din MCC cianogene?

A

Hipocratism digital

24
Q

Ce culoare are sangele celor cu MCC cianogene?

A

Sangele e maroniu din cauza metHb.

25
Q

Ce e blue baby Sdr in MCC cianogene?

A

Copiii sub 12 luni au metHb mare in special daca consuma alimente/lichide bogate in nitrati

26
Q

Ce anume poate provoca metHb?

A

Medicamentele:benzocaina,dapsona
Altele: naftalina, anilina

27
Q

Ce tipuri de MCC cianogene sunt?

A

Tetralogia Fallot
Truncus Arteriosus
Atrezie de tricuspida
Transpozitia de vase
Ebstein’s anomaly
Atrezia v pulmonare sau stenoza

28
Q

Care sunt cele mai rare cazuri de MCC cianogene?

A

Circulatie fetala persistenta
Inima univentriculara

29
Q

Ce este tetralogia fallot?

A

HVD
Transpozitie de vase
DSV
Stenoza pulmonara

30
Q

Tetralogia Fallot: analize de sange

A

Hb crescuta
Policitemie
Trombocite crescute

31
Q

Tetralogia Fallot: Rx

A

Forma de gheata
Desen vascular diminuat
In 25% din cazuri se obs crosa aortica

32
Q

Dg diferential TF

A

malformatii cu comunicari IV
Malpozitia de vase cu stenoza pulmonara (dubla deschidere in VD)
Malformatii cu sunt IV si alt tip de stenoza pulmonara

33
Q

Cum difera transpozitia de vase de tetralogia Fallot?

A

Pe rx: cardiomegalie, forma de ou

34
Q

Ce procedura se face in cazul celor cu inima univentriculara?

A

Procedura Fontan-rol paliativ

35
Q

Care e gold standard ul pentru MCC cianogene?

A

Eco Doppler
Angiografie

Pedi (14 decks)

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