mod 5: age and kids

Question 1

Left to right shunt

Answer 1

R overload=pulm htn, and hypertophies

reversal of shunt (eisenmenger syndrome) d/t raised R pressure-late onsent cyanosis, clubbing

Question 2

VSD

Answer 2

holosystolic murmur left lower sternal border
endocarditis
NB asymptomatic, after vPVR, L->R shunt=murmur
infants-HF, vWeight
adults=pulm htn, clubbing, cyanosis

Question 3

atrial septal defect (^adults)

Answer 3

d/t pfo = L atrium to right
crescendo decrescendo systolic murmur
emoblus risk

Question 4

PDA

Answer 4

closes w/in weeks, machine like murmur in systole and diastole
pulm artery->aorta
s/s depends on systemic resistance
vPVR=aorta->pulm artery= pulm htn= reveresal = deoxygenated blood goes below level of subclavian artery= lower body cyanosis

Question 5

r-L shunt

Answer 5

L side sao2<80% cyanosis present <80%
^left side workload
tetralogy of fallot