Pediatrics- Cardiology Flashcards
1
Q
What is an Atrial Septal defect
A
defect in formation of interatrial septum resulting in flow backwards from Left atrium to right atrium. This causes fluid overload in RV and increased pulmonary blood flow.
2
Q
What would you find on a physical exam of ASD?
A
SEM in pulmonary valve, split S2
3
Q
What investigations would you order and what would you expect to see
A
First ECG: RBBB, RAD. Second ECHO: showing septum defect. If CXR done, you would see cardiomegaly, increased lung markings due to increased flow
4
Q
What is the mgmt of ASD
A
Usually nothing cause kid is healthy. Sometimes surgical closure. Indications: Pulmonary HTN, paradoxical embolism, cardiomegaly on CXR, dilated RV on echo.
